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[肥胖对丹麦医疗保健系统造成的成本]

[The cost of obesity on the Danish health care system].

作者信息

Worre-Jensen Ann Louise, Jensen Nicolaj Bjørn, Heitmann Berit L, Sørensen Thorkild I A

机构信息

Københavns Universitetshospital, Institut for Sygdomsforebyggelse, København K.

出版信息

Ugeskr Laeger. 2007 Aug 13;169(33):2634-7.

Abstract

INTRODUCTION

The prevalence of obesity and obesity-related co-morbidities in the Danish adult population is continuously rising and demands on the Danish health care system are consequently increasing. Quantitative measures of the economic costs related to obesity constitute a necessary basis for the organization of treatments, health promotion and for health policies.

MATERIALS AND METHODS

On the basis of studies of the prevalence of obesity in the Danish adult population and estimates of the increased risk of co-morbidity among obese, the number (and a sensitivity-interval) of hospital contacts in 2003 was calculated. Based on the results of these calculations and on treatment rates for the identified diagnosis-groups, the costs related to the treatment of obesity and obesity-related co-morbidities were estimated.

RESULTS

In 2003 177,703 hospital contacts in Denmark were related to obesity. The costs related to these contacts summed up to euro 137.3 mill. (euro 88.8-174.0 mill.), corresponding to 2.8% (1.8-3.6%) of the running costs at Danish hospitals.

CONCLUSION

The results of this analysis are equivalent to the results from similar analyses from other European countries with comparable health care systems. The health-economic costs related to obesity in Denmark depend on the prevalence of obesity and as a consequence are expected to rise as the current obesity epidemic further develops.

摘要

引言

丹麦成年人群中肥胖症及与肥胖相关的合并症患病率持续上升,因此对丹麦医疗保健系统的需求也在增加。肥胖相关经济成本的量化衡量是组织治疗、促进健康及制定卫生政策的必要基础。

材料与方法

基于对丹麦成年人群肥胖症患病率的研究以及对肥胖者合并症风险增加的估计,计算了2003年的住院人次(及一个敏感性区间)。根据这些计算结果以及所确定诊断组的治疗率,估算了与肥胖症及与肥胖相关合并症治疗相关的成本。

结果

2003年丹麦有177,703人次住院与肥胖症有关。这些住院相关成本总计达1.373亿欧元(8880万 - 1.74亿欧元),相当于丹麦医院运营成本的2.8%(1.8% - 3.6%)。

结论

该分析结果与其他具有类似医疗保健系统的欧洲国家的类似分析结果相当。丹麦与肥胖症相关的健康经济成本取决于肥胖症患病率,因此预计随着当前肥胖症流行的进一步发展还会上升。

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