莱姆病和医疗保健费用 莱姆病和医疗保健费用
Holly Yu1, Rebecca M Fee2, Brian T Campfield3,4
1Pfizer, Collegeville, Pennsylvania.
JAMA network open
|January 14, 2026
概括
莱姆病 (LD) 严重负担美国医疗保健系统,每年耗资5.91亿美元至105亿美元. 散布的LD特别昂贵,强调需要有效的预防策略.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 莱姆病 (Lyme disease,简称LD) 是美国传播者传播的疾病中最常见的一种,其发病率和地理分布在不断增加.
- 了解LD的经济影响,包括患者自付 (OOP) 费用,由于其日益普遍,至关重要.
研究的目的:
- 为了评估与大量美国人口的LD诊断相关的医疗保健成本.
- 根据局部与分散的疾病表现来分层成本.
主要方法:
- 一个回顾性队列研究,利用Optum Market Clarity (2014年12月 - 2023年1月) 的非识别索赔和电子健康记录.
- 诊断为LD的患者被确定并分为局部,扩散或不确定的疾病.
- 医疗保健成本使用多种方法进行评估,包括特征性成本,基线与随访比较以及病例控制分析,考虑直接和OOP成本.
主要成果:
- 这项研究包括70,531名LD病例患者. 对LD的估计直接成本是相当大的,每集的成本平均为2227.7美元.
- 与基线和对照组相比,LD患者的全因6个月随访费用显著更高,从3304美元到5571美元不等.
- 归因于LD的平均OOP成本从188美元到399美元不等. 美国每年对LD的成本估计在5.91亿美元至10亿美元之间,其中4.11亿至7.71亿美元与传播疾病有关.
结论:
- 莱姆病给医疗保健系统和患者带来了巨大的财务负担,特别是在传播疾病的情况下.
- 调查结果强调,实施有效的预防措施以减轻LD的经济影响至关重要.
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