Yang M C, Fann C Y, Wen C P, Cheng T Y
Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan.
Tob Control. 2005 Jun;14 Suppl 1(Suppl 1):i62-70. doi: 10.1136/tc.2004.007963.
To estimate the smoking attributable medical expenditures and productivity loss of people aged 35 and over in Taiwan in 2001 from a societal viewpoint.
A prevalence based approach was used to estimate smoking attributable costs. Epidemiological parameters were obtained from two follow up studies and government statistics. Data on medical care utilisation and expenditure were extracted from the National Health Insurance claim data.
Total smoking attributable medical expenditures (SAEs) amounted to USD 397.6 million, which accounted for 6.8% of the total medical expenditures for people aged 35 and over. Mean annual medical expenditures per smoker was USD 70 more than that of each non-smoker. Smoking attributable years of potential life lost (YPLL) totalled to 217,761 years for males and 15,462 years for females, and the corresponding productivity loss was USD 1371 million for males and USD 18.7 million for females.
Medical expenditures attributable to smoking accounted for 6.8% of the total medical expenditure of people aged 35 and over for the year 2001 in Taiwan. Corresponding YPLL and productivity loss also demand that actions be taken to fight cigarette smoking.
从社会角度估算2001年台湾35岁及以上人群因吸烟导致的医疗支出和生产力损失。
采用基于患病率的方法估算吸烟所致成本。流行病学参数来自两项随访研究和政府统计数据。医疗服务利用和支出数据从国民健康保险理赔数据中提取。
吸烟所致医疗支出（SAEs）总计3.976亿美元，占35岁及以上人群总医疗支出的6.8%。每位吸烟者的年均医疗支出比每位非吸烟者多70美元。男性因吸烟导致的潜在寿命损失年数（YPLL）总计217,761年，女性为15,462年，相应的生产力损失男性为13.71亿美元，女性为1870万美元。
2001年台湾35岁及以上人群因吸烟导致的医疗支出占总医疗支出的6.8%。相应的潜在寿命损失年数和生产力损失也表明需要采取行动控烟。
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