身体活动对中国医疗保健利用的作用
Xiao-Lin Lei1, Ke Gao2, Huan Wang1
1Department of Cardiology, Xijing Hospital, Air Force Military Medical University (Fourth Military Medical University), Xi'an, 710032, China.
BMC public health
|December 1, 2023
概括
定期体力活动 (PA) 在中国显著减少了医疗保健的使用和支出. 在中年和老年人中促进运动可以降低个人和医疗保健系统的医疗费用.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 关于体力活动对中国医疗保健利用率和成本的影响的证据有限.
- 了解这种关系对于公共卫生政策和经济规划至关重要.
研究的目的:
- 检查每周体力活动总量 (TPA) 与医疗保健服务使用和支出之间的关联.
- 调查50岁以上中国成年人身体活动和医疗负担之间的剂量反应关系.
主要方法:
- 分析了2011年,2013年和2015年中国健康与退休长度研究 (CHARLS) 的数据.
- 包括50岁以上的参与者,具有完整的随访数据 (n=12,927).
- 总体体力活动 (TPA) 是通过将强烈体力活动 (VPA) 转换为中度体力活动 (MPA) 等值来计算的.
主要成果:
- 较高的TPA水平与减少住院访问 (IRR:0.58) 和住院日数 (IRR:0.60) 有关.
- 增加体力活动与较低的医疗保健支出相关 (IRR:0.71) 和减少灾难性医疗支出风险 (OR:0.57).
- 观察到一种剂量与反应的关系,表明较高的体力活动水平带来更大的益处.
结论:
- 中等到强烈的体力活动与中国医疗保健利用率和支出减少有关.
- 在中年和老年人群中促进体育活动可能会减轻个人和系统的财务负担.
- 公共卫生政策应考虑鼓励运动,以减少整体医疗负担.
相关概念视频
01:20Lifestyle Factors and Health
57
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
57
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
02:59Cancer Prevention
6.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.2K
01:17Exercise and Cardiac Output
1.1K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.1K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K