估计2000年至2019年间全球直接医疗保健在神经和精神健康方面的支出:一个建模研究
A J Mitchell1, Ian E Cogswell1, Jeremy Dalos1
1Institute for Health Metrics and Evaluation, Hans Rosling Center for Population Health, Seattle, WA, USA.
The Lancet. Public health
|May 1, 2025
概括
全球对大脑疾病的支出在2019年达到1.7万亿美元,年增长显著. 这突显了神经和精神健康状况带来的巨大经济负担,需要对受影响家庭的政策优先考虑.
科学领域:
- 全球卫生经济学全球卫生经济学
- 神经科学是一个神经科学.
- 公共卫生政策 公共卫生政策
背景情况:
- 全球神经和精神疾病负担不断增加.
- 全球医疗保健支出对大脑疾病的数据有限.
- 需要对直接卫生支出进行全面量化.
研究的目的:
- 从2000年到2019年,量化全球24种大脑疾病的直接医疗保健支出.
- 根据疾病类型,年龄和性别分析消费模式.
- 为了确定医疗保健支出对大脑健康的趋势.
主要方法:
- 利用疾病,伤害和风险因素研究 (GBD) 的全球负担,2023年流行率和发病率数据.
- 雇员疾病支出项目对相对护理价格的估计.
- 应用国家卫生账户数据对特定国家因素进行调整,并使用混合效应模型进行调整.
主要成果:
- 估计2019年的直接医疗保健支出为1.7万亿美元,自2000年以来每年增长3.5%.
- 神经系统疾病占总支出的51.8%,住院护理是最大的组成部分.
- 老年人 (50-74岁) 的支出和增长率最高,性别差异最小.
结论:
- 对大脑健康的直接支出代表着重大的社会经济负担.
- 全球人口老龄化需要政策重点放在支持受脑疾病影响的家庭的干预措施上.
- 迫切需要采取政策行动,以应对大脑疾病日益增长的经济影响.
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