公共卫生 公共卫生
Johanna Thunell1, Geoffrey Joyce1, Bryan Tysinger1
1University of Southern California, Los Angeles, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
痴呆症患者 (PLWD) 的医疗费用高于没有痴呆症患者的医疗费用. 这项研究量化了与痴呆相关的医疗费用,揭示了人口统计和糖尿病等并发症之间的显著差异.
科学领域:
- 卫生经济学 卫生经济学
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 痴呆症患者 (PLWD) 的医疗费用要高得多,尤其是在诊断的一年.
- 了解与痴呆相关的医疗费用和并发症影响的异质性是有限的.
研究的目的:
- 估计和分析不同人群中与痴呆相关的医疗费用.
- 识别导致成本变化的因素,包括社会人口背景,地区,性别,种族/种族以及糖尿病等并发性疾病.
主要方法:
- 使用的医疗保险A,B和D部分 (2006-2020年) 索赔100%的传统医疗保险受益人.
- 使用最佳倾向分数匹配,将PLWD与没有痴呆症的相似个体进行比较.
- 根据护理类型,地区,性别,种族/种族,以及糖尿病患者的PLWD来量化痴呆症相关的医疗费用.
主要成果:
- 2020年,PLWD患者的平均医疗费用为35,828美元,对照患者为29,752美元,住院费用几乎占差距的一半.
- 成本差异在亚洲人 (8,931美元) 中最大,在65-70岁年龄组 (7,992美元) 达到顶峰.
- 患有糖尿病的PLWD与没有痴呆症 (21,140美元) 相比,医疗费用 (46,772美元) 超过两倍.
结论:
- 根据地区,性别,种族和并发症状况,介绍了首个与痴呆症相关的医疗费用的国家代表性估计.
- 进一步的分析将确定何时,在哪里,以及谁的痴呆成本最高.
- 结果可以为全面的成本估计和PLWD并发症的临床管理提供信息.
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