基本震的直接医疗成本
Kandice A Kapinos1, Elan D Louis2,3
1RAND Corporation, Arlington, Virginia, USA, kkapinos@rand.org.
Neuroepidemiology
|October 13, 2024
概括
40岁以上成年人的基本震 (ET) 造成了相当大的直接医疗费用,平均每年每患者28,217美元. 这种情况给医疗保健系统带来了巨大的经济负担.
科学领域:
- 医学经济学 医学经济学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 基本震 (ET) 是一种常见的神经疾病.
- 从患者的角度来看,与ET相关的直接医疗成本尚未完全阐明.
- 了解经济负担对于资源分配和医疗保健政策至关重要.
研究的目的:
- 从患者的角度来看,从基本震 (ET) 来确定疾病的直接医疗成本.
- 量化每年每名患者的医疗费用40岁以上的成年人与ET.
- 为了估计ET的总国民经济负担.
主要方法:
- 使用了来自Optum的Clinformatics® Data Mart (2018-2019) 的非识别索赔数据.
- 雇员倾向分数匹配,将ET患者 (40岁以上) 与统计学上相似的对照组进行比较.
- 应用了通用线性模型来估计调整后的年度护理总成本.
主要成果:
- 40岁以上的ET患者平均每年直接医疗费用为28,217美元,超过对照组的1,601美元 (p < 0.001).
- 门诊访问的增加,特别是专家的访问,导致了更高的成本.
- 据估计,美国40岁以上人口中ET的年度直接医疗费用总额约为94亿美元.
结论:
- 在40岁以上的成年人中,基本震的直接医疗费用是相当大的.
- 在人口层面上ET的经济影响是显著的,值得注意.
- 建议进一步研究ET的成本效益管理策略.
相关概念视频
Parkinson's Disease: Treatment
231
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
231
Parkinson's Disease: Overview
487
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
487
Myasthenia Gravis: Overview and Treatment
1.2K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.2K
Myasthenia Gravis: Diagnostic Tests
686
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
686
Disorders of the Skeletal Muscle
900
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
900
Alzheimer's Disease: Treatment
166
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
166


