印度尼西亚2型糖尿病的经济成本:系统性审查
Yudi Adnan1,2, Veni Hadju3, Anwar Mallongi4
1Doctor of Public Health Study Program, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Iranian journal of public health
|December 8, 2025
概括
印度尼西亚的2型糖尿病 (T2D) 显著增加了医疗保健成本,并发症的成本几乎是其四倍. 政策应优先考虑预防和早期查,以管理糖尿病的经济负担.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病 (T2D) 在印度尼西亚是一个重大的和不断升级的经济挑战.
- 越来越多的T2D患病率及其并发症是这种财务负担的关键驱动因素.
- 了解经济影响对于有效制定政策至关重要.
研究的目的:
- 系统地审查和综合现有关于印尼T2D相关经济成本的证据.
- 为旨在减轻T2D的财务压力的政策决策提供信息.
主要方法:
- 一个系统的审查,遵守PRISMA指南和PICOS框架.
- 在主要数据库 (PubMed,ProQuest,EBSCO,ScienceDirect,Google Scholar) 搜索了2019-2025年的研究.
- 包括报告印尼T2D患者每年或每月的直接和/或间接成本的研究.
主要成果:
- 分析了6项研究,其中大多数数据来自三级医疗机构.
- 患有并发症的T2D患者的平均年度直接成本为1,607.7美元,比没有并发症的患者的427.3美元高3.8倍.
- 间接成本是有限的,有并发症的患者为35.2美元,没有并发症的患者为20.5美元,这表明可能低估了总体经济负担.
结论:
- 二型糖尿病的并发症几乎使医疗保健支出增加了四倍.
- 政策建议包括将重点转移到预防,扩大基于保险的查,并加强初级保健服务.
- 标准化的方法和包括间接成本对于准确的经济负担评估和政策指导至关重要.
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