Pediatric Gastroenterology, Hepatology, and Nutrition, Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, California, CA, USA.
Inflamm Bowel Dis. 2011 Jul;17(7):1603-9. doi: 10.1002/ibd.21488. Epub 2010 Nov 4.
The United States spends more for healthcare than any other country in the world. With the rising prevalence of both Crohn's disease and ulcerative colitis, inflammatory bowel disease (IBD) represents the leading chronic gastrointestinal disease with increasing healthcare expenditures in the US. IBD costs have shifted from inpatient to outpatient care since the introduction of biologic therapies as the standard of care. Gastroenterologists need to be aware of the national cost burden of IBD and clinical practices that optimize cost-efficiency. This investigation offers a systematic review of the economics of IBD and evidence-based strategies for cost-effective management.
美国在医疗保健上的支出比世界上任何其他国家都多。随着克罗恩病和溃疡性结肠炎的患病率不断上升,炎症性肠病(IBD)成为美国医疗支出不断增加的主要慢性胃肠道疾病。自生物疗法作为标准治疗方法问世以来,IBD 的成本已经从住院治疗转移到了门诊治疗。由于 IBD 的成本负担和优化成本效益的临床实践,胃肠病学家需要意识到这一点。本研究对 IBD 的经济学和基于证据的成本效益管理策略进行了系统回顾。