在单一时期和整个生命周期中,与高胆固醇血症相关的成本
Stephanie Reitzinger1, Miriam Reiss2, Thomas Czypionka2,3
1Institute for Advanced Studies, Josefstädter Str. 39, 1080, Vienna, Austria. reitzinger@ihs.ac.at.
概括
高胆固醇血症显著影响公众健康,由于心血管疾病风险增加,导致大量的社会成本. 降低低密度脂蛋白胆固醇 (LDL-C) 水平可以减轻死亡和经济损失.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 高胆固醇血症是动脉样硬化心血管疾病的主要危险因素,减少健康寿命.
- 胆固醇水平升高导致缺血性心脏病,中风和其他心血管疾病的显著发病率和死亡率.
研究的目的:
- 量化奥地利高胆固醇血症所造成的综合社会成本.
- 分析高胆固醇血症对直接医疗,非医疗和间接经济成本的影响.
主要方法:
- 利用了有关胆固醇分布和心血管疾病相对风险的流行病学数据.
- 应用了可以归因于人口的分数来估计直接和间接类别的成本.
- 进行了生命周期分析,以预测2019年人口的未来患病和死亡成本.
主要成果:
- 大约50%的奥地利人口表现出高低密度脂蛋白胆固醇 (LDL-C) 水平,超过目标建议.
- 高胆固醇血症与8.2%的死亡有关,在生命周期的角度来看,总社会成本估计为8.06亿欧元 (占GDP的0.33%).
- 医疗费用达到3.121亿欧元,由于这种情况造成的生产损失约为4.94亿欧元.
结论:
- 很大一部分死亡,残疾养老金和劳动力市场损失都归因于高胆固醇血症.
- 减少人口的LDL-C水平为避免医疗保健支出和经济生产力损失提供了巨大的机会.
- 旨在降低胆固醇的干预措施可以为公众健康和奥地利经济带来相当大的好处.
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