比利时多重疾病医疗保健支出:为期四年的分析 (COMORB研究)
Phuong Bich Tran1,2, Georgios F Nikolaidis3, Emmanuel Abatih4
1Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium. Phuong.tran@uantwerpen.be.
常见的多重疾病组合,不是罕见的高成本疾病,显著影响国家卫生支出. 了解这些普遍的二元和三元是开发为复杂患者需求提供成本效益的护理途径的关键.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 由于复杂的健康需求和有限的成本数据,管理多病症带来了重大挑战.
- 对于患有多种慢性病的人来说,很难建立具有成本效益的患者护理途径.
研究的目的:
- 估计与管理相关的医疗保健成本比利时的慢性疾病的二元和三元.
- 分析发病率相互作用对医疗保健支出的影响.
- 为多病患者制定成本有效的护理策略提供信息.
主要方法:
- 使用比利时相关的健康调查和行政索赔数据 (2017-2020) 进行了回顾性纵向研究.
- 包括9753名15岁以上的个人,具有完整的个人资料.
- 混合效应模型被用来分析每人对二和三的直接医疗费用,考虑相互作用和家庭聚类.
主要成果:
- 几乎一半的人口患有多重疾病,约占总医疗保健费用的四分之三.
- 最常见的二元 (关节病 + 脊椎病) 和三元 (关节病 + 脊椎病 + 高血压) 占全国卫生支出的很大一部分.
- 平均每年直接成本为二3515欧元,三4592欧元;癌症,糖尿病和慢性疲劳组合造成的成本最高.
结论:
- 流行,而不是高成本的疾病组合对国家卫生支出贡献最大.
- 调查结果为欧洲和全球提供了关键数据,以改善各种患者需求的成本效益护理.
- 该研究强调了在医疗保健资源分配中考虑常见的多病态模式的重要性.
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