Roux Larissa, Donaldson Cam
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Obes Res. 2004 Feb;12(2):173-9. doi: 10.1038/oby.2004.23.
There is no doubt that obesity is a major public health problem. However, what is the contribution of economics to solving it? In this report, we make the case that the role of economics is not in measuring the economic burden of obesity, through so-called cost-of-illness studies. Such studies merely confirm that obesity is a serious societal issue; adding a monetary figure to this does not add much. The economic foundations of such estimates can also be questioned, thus lessening their policy relevance. The real value of economics in the arena of obesity care is in evaluating, through formal economic evaluation, the use of our scarce health care resources in different strategies to prevent and treat obesity.
毫无疑问,肥胖是一个重大的公共卫生问题。然而,经济学在解决这一问题中能起到什么作用呢?在本报告中,我们认为经济学的作用并非通过所谓的疾病成本研究来衡量肥胖的经济负担。此类研究仅仅证实了肥胖是一个严重的社会问题;给这一问题加上一个货币数字并不会增加太多实质内容。此类估算的经济基础也可能受到质疑,从而降低了它们与政策的相关性。经济学在肥胖治疗领域的真正价值在于,通过正式的经济评估,评估我们稀缺的医疗保健资源在预防和治疗肥胖的不同策略中的使用情况。