在老年人中对比COPD和喘的医疗费用
Tiina Mattila1, Tuula Vasankari2, Fredrik Herse3
1Department of Pulmonary Diseases, Heart and Lung Center, Helsinki University Hospital and Helsinki University, Meilahti Triangle Hospital, 6th floor, PO Box 372, 00029 HUS, Helsinki, Finland; Finnish Institute for Health and Welfare, PO Box 30, 00271, Helsinki, Finland.
Respiratory medicine
|November 23, 2023
概括
老年人的喘负担下降,而慢性阻塞性肺病 (COPD) 仍然很高. 喘成本下降,但COPD的社会成本和紧急诊所访问增加.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 人口老龄化带来了独特的社会挑战.
- 阻塞性肺部疾病,包括喘和COPD,显著影响老年人的发病率,死亡率和医疗保健费用.
- 这项研究考察了芬兰60岁及以上年龄组中喘和COPD负担的变化.
研究的目的:
- 分析芬兰老年人 (≥60岁) 喘和COPD患病率的趋势以及相关的医疗保健利用情况.
- 从1996年到2018年,量化喘和COPD的社会成本,药物使用和医疗服务利用率的变化.
- 评估对潜在生命损失年数 (PYLL) 和这些疾病的急诊室访问的影响.
主要方法:
- 利用芬兰统计局,医疗保健护理登记册和社会保险机构 (1996-2018) 的国家登记数据.
- 喘和严重COPD的估计患病率,医疗保健和社会服务的使用情况,以及补偿吸入药物的成本.
- 每个患者计算的社会成本,PYLL和急诊室访问.
主要成果:
- 2018年,在接受补偿药物的喘患病率为8%,在≥60岁的年龄组中,严重的慢性肺炎患病率为0.7%.
- 喘的总成本增加了57% (3300万欧元至5800万欧元),而COPD成本在1996-2018年间下降了27% (3800万欧元至3000万欧元).
- 尽管每位患者的成本稳定,但COPD显示PYLL增加了28%,紧急诊所增加了62%.
结论:
- 老年人群中喘的总体负担下降,而COPD负担仍然很大.
- 随着PYLL和紧急护理使用率的增加,COPD对老年人的挑战越来越大.
- 需要有针对性的干预措施来管理老龄化人口中COPD持续且日益增加的负担.
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