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土耳其肥胖的经济影响:微成本分析

Dilek Gogas Yavuz¹, Omar Akhtar², Kaywei Low²

¹School of Medicine, Marmara University, Section of Endocrinology and Metabolism, Istanbul, Turkey.

ClinicoEconomics and outcomes research : CEOR

|March 13, 2024

概括

土耳其的肥胖对公共卫生系统造成了巨大的经济负担,慢性脏病,心力衰竭和2型糖尿病是最昂贵的肥胖相关并发症. 本研究量化了这些成本,以支持对肥胖干预措施的投资.

科学领域:

公共卫生公共卫生
卫生经济学卫生经济学
临床医学临床医学

背景情况:

土耳其是欧洲肥胖率最高的国家,肥胖率为32%,超重率为61%.
肥胖和超重与非传染性疾病有关,增加了医疗保健和经济成本.
显著的公共卫生问题需要对肥胖的经济影响进行评估.

研究的目的:

从公共支付者的角度来估计土耳其与肥胖相关的并发病 (ORCs) 的直接医疗保健成本.
确定最昂贵的ORC和这些支出的主要驱动因素.
提供经济证据支持对肥胖预防和管理策略的投资.

主要方法:

采用微成本计算方法,利用临床指南和文献审查来确定ORC和成本类别.
通过对70名公共部门医生的调查,估计了医疗保健资源的利用率.
单位成本是从社会保障研究所获得的,在场景分析中考虑了医疗通货膨胀.

主要成果:

慢性病,心力衰竭和2型糖尿病是最昂贵的ORC,年成本分别为28600 TRY,16639 TRY和11993 TRY.
任何ORC患者的直接年度医疗保健费用从1857到28600TRY不等.
费用主要是由第三级护理,不良事件,并发症和住院手术所驱动的,而通货膨胀显著增加了成本.

结论:

肥胖及其相关的并发症对土耳其的公共医疗保健系统构成重大财务压力.
量化各种ORC中肥胖的经济负担为投资于有针对性的干预提供了强有力的理由.
这项研究强调了需要采取主动策略来缓解与肥胖相关的不断上升的成本.

关键词:

疾病负担的疾病负担.疾病的成本.医疗保健资源利用率医疗保健资源利用率微成本计量是指微成本计量.肥胖肥胖肥胖肥胖肥胖肥胖肥胖肥胖

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