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在商业保险患者中,经过减肥外科手术的长期成本结果
Sonali Shambhu1, Qinli Ma2, Aliza S Gordon1
1Public Policy Institute Elevance Health Indianapolis Indiana USA.
Obesity science & practice
|January 8, 2024
概括
减肥手术可以降低肥胖患者的长期医疗费用. 在不同的社会经济地位 (SES) 中,成本节约是一致的,这表明患者群体的收益更广泛.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 肥胖管理 肥胖管理
背景情况:
- 减肥手术的程序已经进步,提高了安全性和有效性.
- 了解减肥手术的长期经济影响对于医疗保健政策至关重要.
- 社会经济地位 (SES) 可能影响医疗保健成本和手术干预的机会.
研究的目的:
- 评估与减肥手术相关的长期 (长达10年) 医疗保健成本.
- 为了确定减肥手术对长期成本的影响是否因社会经济地位 (SES) 而有所不同.
主要方法:
- 使用行政索赔数据进行回顾性观察研究.
- 2009年至2018年期间接受了减肥手术 (BS) 的83,882名患者与83,882名匹配对照进行了比较.
- 在10年的随访期内分析下游医疗保健成本,按SES四分位数分层.
主要成果:
- 减肥手术组的医疗保健总成本从手术后2-10年显著降低 (成本比率为0.85-0.93,p <0.05).
- 在按SES四分位数分层减肥手术组时,没有观察到节省成本的显著差异 (成本比0.96-1.05).
结论:
- 减肥手术与降低长期医疗成本有关.
- 减肥手术的成本节约在不同的社会经济层面上似乎是公平的.
- 调查结果可以为决策者和雇主提供有关扩大减肥手术覆盖范围和福利的信息.
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