心力衰竭:对全球经济负担的评估
Mohammad Darvish1, Abdul Shakoor1, Lida Feyz1
1Department of Cardiology, Cardiovascular Institute, Thoraxcenter, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
European heart journal
|May 30, 2025
概括
心力衰竭 (HF) 的全球经济负担很大,在2021年为284.17亿美元. 低收入国家面临着相对于其资源,高频的经济影响不成比例地高.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 是一个重大的全球公共卫生挑战.
- 在全球范围内,高频率给医疗保健系统和社会带来了巨大的经济成本.
- 了解高频的当代经济影响对于资源分配和政策制定至关重要.
研究的目的:
- 提供心力衰竭 (HF) 对全球经济影响的当代概述.
- 估计不同国家与高频相关的直接和间接成本.
- 分析与人类发展指数 (HDI) 分类相关的HF经济负担.
主要方法:
- 在四个数据库中进行了系统的文献搜索,遵守PRISMA指南.
- 包括报告高频率直接成本 (DC) 和间接成本 (IC) 的研究.
- 费用标准化为2021年当前医疗保健支出 (CHE) 和国内生产总值 (GDP) 的百分比,数据来源于世卫组织全球卫生支出数据库.
主要成果:
- 据估计,2021年HF的全球经济负担为284.17亿美元,包括179个国家.
- 直接成本占136.86亿美元 (48.16%),间接成本为147.31亿美元 (51.84%).
- 虽然高HDI国家承担的绝对成本更高,但低HDI国家相对于其CHE和GDP承担的负担不成比例.
结论:
- 心力衰竭的全球经济负担是巨大的,并且在不断增加,在不同国家之间存在显著差异.
- 低HDI的国家面临着与其医疗保健支出和GDP相比,HF带来的不成比例的经济负担.
- 解决数据稀缺问题和实施定制的,具有成本效益的措施对于优化全球HF护理至关重要.
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