估算荷兰养老院中与营养不良相关的成本。
Estimating the costs associated with malnutrition in Dutch nursing homes.
机构信息
Department of Health Services Research, School for Public Heath and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
出版信息
Clin Nutr. 2012 Feb;31(1):65-8. doi: 10.1016/j.clnu.2011.08.009. Epub 2011 Aug 30.
BACKGROUNDS & AIMS: Malnutrition in western health care involves a tremendous burden of illness. In this study the economic implications of malnutrition in Dutch nursing homes are investigated as part of the Health and Economic Impact of Malnutrition in Europe Study from the European Nutrition for Health Alliance.
METHODS
A questionnaire was developed, focussing on the additional time and resources spent to execute all relevant nutritional activities in nursing home patients with at risk of malnutrition or malnourished. Results were extrapolated on national level, based on the prevalence rates gathered within the national Prevalence Measurement of Care Problems 2009.
RESULTS
The normal nutritional costs are 319 million Euro per year. The total additional costs of managing the problem of malnutrition in Dutch nursing homes involve 279 million Euro per year and are related to extra efforts in nutritional screening, monitoring and treatment. The extra costs for managing nursing home residents at risk of malnutrition are 8000 euro per patient and 10000 euro for malnourished patients.
CONCLUSIONS
The extra costs related to malnutrition are a considerable burden for the nursing home sector and urge for preventive measures.
背景与目的
西方医疗保健中的营养不良涉及巨大的疾病负担。在这项研究中，作为欧洲营养促进健康联盟的欧洲营养不良对健康和经济影响研究的一部分，调查了荷兰疗养院中营养不良的经济影响。
方法
开发了一份问卷，重点关注营养风险或营养不良的疗养院患者执行所有相关营养活动所花费的额外时间和资源。根据 2009 年国家护理问题患病率调查中收集的患病率数据，将结果推断到国家层面。
结果
正常营养成本为每年 3.19 亿欧元。管理荷兰疗养院营养不良问题的总额外成本为每年 2.79 亿欧元，与营养筛查、监测和治疗方面的额外努力有关。管理营养不良风险的疗养院居民的额外成本为每位患者 8000 欧元，营养不良患者为 10000 欧元。
结论
与营养不良相关的额外成本对疗养院部门是一个相当大的负担，并促使采取预防措施。
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