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估计流感对马来西亚老年人口的经济负担

Nur Syazana Mad Tahir^1,2, Aniza Ismail¹, Syed Mohamed Aljunid^3,4

¹Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

|November 16, 2023

概括

流感严重负担马来西亚的老年人,每年花费32.8亿令吉. 疫苗接种计划对于减少这种经济和健康影响至关重要.

科学领域:

公共卫生公共卫生
卫生经济学卫生经济学
流行病学流行病学

背景情况:

流感对健康构成重大风险,尤其是对弱势群体.
准确的经济负担估计对于有效的公共卫生政策至关重要,特别是对于资源有限的环境中的疫苗接种计划.

研究的目的:

确定马来西亚老年人 (≥60岁) 流感的经济负担.
提供数据,以告知流感疫苗接种策略.

主要方法:

利用来自马来西亚一家教学医院的MY-DRG Casemix数据库.
包括用流感及其并发症的ICD-10代码编码的病例 (J09,J10.0-J10.8,J11.0-J11.8,J12.8,J12.9).
使用casemix数据和专家指导的临床途径计算直接成本,并对成本和发病率变化进行敏感性分析.

主要成果:

确定了1599例住院和407例门诊流感病例.
老年人占住院病例的4.8%.
估计的平均年度直接成本在每例从RM2,435 (轻度) 到RM13,282 (严重) 之间.
据估计,老年人的年度经济负担总额为32.8亿令吉 (7.82亿美元),占2020年卫生部预算的10.7%.
敏感性分析强调流感发病率和严重病例管理成本是主要的经济驱动因素.

结论:

流感给马来西亚老年人带来了巨大的经济负担.
高昂的成本凸显了加强预防措施的必要性,例如老年人免疫计划.
实施疫苗接种策略可以减轻疾病流行率和相关经济影响.

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