美国成年患有慢性下呼吸道疾病的吸烟引起的医疗保健支出
Dian Gu1,2, Hai-Yen Sung1,2, Carolyn S Calfee2,3
1Institute for Health & Aging, School of Nursing, University of California, San Francisco.
JAMA network open
|May 30, 2024
概括
吸烟显著增加了慢性下呼吸道疾病 (CLRD) 的成年人的医疗费用. 目前的吸烟者每年医疗保健支出高于前吸烟者,这凸显了戒烟干预措施的经济效益.
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:
- 吸烟是慢性下呼吸道疾病 (CLRD) 的一个主要风险因素.
- 了解吸烟对CLRD患者的经济影响对于医疗保健规划至关重要.
- 之前的研究表明,在CLRD人群中,吸烟与医疗保健使用率增加之间存在联系.
研究的目的:
- 为了估计在美国成年人中吸烟的流行率,CLRD.
- 量化成年人患有CLRD的烟草吸烟归因的医疗保健支出 (SAHE).
- 分析这些经济结果,按年龄组分层.
主要方法:
- 采用国家健康访谈调查 (2014-2018,2020) 和医疗支出小组调查 (2020) 的数据进行的横截面研究.
- 人口包括35岁及以上患有CLRD的成年人,按吸烟状况分类 (目前,以前,从未吸烟).
- 计量经济学模型评估了吸烟和医疗保健利用在住院,急诊,医生和家庭医疗保健服务之间的关联.
主要成果:
- 2020年,35-64岁的成年人患有CLRD的吸烟归因的医疗保健支出 (SAHE) 总计为136亿美元.
- 对于患有CLRD的65岁以上的成年人来说,2020年的SAHE总额为53亿美元.
- 总体而言,患有CLRD的35岁以上成年人的SAHEs在2020年达到189亿美元,目前的吸烟者的人均成本高于前吸烟者.
结论:
- 烟草吸烟对成年患者的医疗负担作出了重大贡献.
- 当前吸烟者中人均SAHE较高的情况强调了戒烟的潜在经济效益.
- 有针对性的戒烟干预措施可以为这一患者群体节省大量的成本.
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