听力损失与健康相关成本之间的关联:一项基于人口的回顾性队列研究
Marcello Tonelli1, Natasha Wiebe2, Tiffany Boulton3
1Department of Medicine, University of Calgary, Alberta, Canada.
American journal of audiology
|November 13, 2024
概括
听力损失显著增加了直接的医疗保健费用,特别是对于年轻人和男性. 通过改进的预防和管理策略,解决听力损失可以带来巨大的经济效益.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 听力学 听力学是指听力学.
背景情况:
- 听力损失 (HL) 是全球主要的残疾,但其经济影响仍未得到充分研究.
- 了解与HL相关的直接医疗保健成本对于资源分配和政策制定至关重要.
研究的目的:
- 调查听力损失与直接医疗保健支出之间的关联.
- 确定与听力损失相关的成本较高的特定子组.
主要方法:
- 基于人口的回顾性队列研究 (2008年4月 - 2019年3月) 使用行政卫生数据.
- 包括住院,提供者索赔,门诊护理,处方药和长期护理 (LTC) 费用.
- 分析了4,424,632名参与者,其中146,644名 (3.3%) 被诊断为HL.
主要成果:
- 与没有HL的参与者相比,HL的参与者每年医疗费用 (6871美元) 比没有HL的参与者 (4716美元) 高得多.
- 在HL组中,更高的成本与提供者索赔,门诊和药物相关,即使在调整并发症后也是如此.
- 增量成本在年轻的参与者,男性和伴随疾病较少的人群中最为明显.
结论:
- 听力损失与明显更高的医疗保健成本有关,部分原因是伴随性疾病负担增加.
- 有效预防,识别和管理HL可以通过减少人口归因成本,产生显著的经济效益.
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