慢性阻塞性肺病的经济负担:系统性审查
Hai Quang Pham1, Kiet Huy Tuan Pham1, Giang Hai Ha2,3
1Department of Health Economics, School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Tuberculosis and respiratory diseases
|February 16, 2024
概括
慢性阻塞性肺病 (COPD) 的经济负担在全球范围内有所不同,直接和间接成本显著. 需要对护理人员成本进行更多的研究,特别是在发展中国家,以有效管理这种疾病.
科学领域:
- 肺部医学 肺部医学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是一个重大的全球健康挑战.
- 了解COPD的经济负担对于卫生当局的资源分配至关重要.
- 关于COPD经济影响的证据对于有效的公共卫生战略至关重要.
研究的目的:
- 从1990年到2019年,系统地审查和总结COPD的经济负担.
- 识别和分析与COPD相关的直接,间接和无形成本.
- 突出研究缺陷,特别是关于COPD护理人员的经济负担.
主要方法:
- 对1990年至2019年间发表的研究进行系统的文献综述.
- 在主要数据库中进行的搜索:科学网,PubMed/Medline,Scopus和Cochrane图书馆.
- 选了12734项研究,其中43篇文章符合数据提取的纳入标准.
主要成果:
- 对COPD的总直接成本差异很大,从印度的Int$52.08到加拿大的Int$13,776.33.
- 药品成本从越南的70.07美元到中国的8706.9美元不等.
- 关于间接成本 (8项研究) 和护理人员成本 (1项研究,希腊1207.8英) 的研究有限.
结论:
- 与COPD相关的经济负担很大,直接和药物成本很高.
- 对COPD护理人员的经济影响进行更多研究是非常必要的,特别是在发展中国家.
- 实施减少住院和急症护理的战略对于患者的生活质量和疾病成本管理至关重要.
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