疾病相关营养不良的经济成本。
The economic costs of disease related malnutrition.
机构信息
CAPHRI Maastricht University, p/a P.O. Box 445, 2700 AK Zoetermeer, The Netherlands.
出版信息
Clin Nutr. 2013 Feb;32(1):136-41. doi: 10.1016/j.clnu.2012.06.009. Epub 2012 Jul 10.
BACKGROUND & AIMS: Disease related malnutrition (under-nutrition caused by illness) is a worldwide problem in all health care settings with potentially serious consequences on a physical as well as a psycho-social level. In the European Union countries about 20 million patients are affected by disease related malnutrition, costing EU governments up to € 120 billion annually. The aim of this study is to calculate the total additional costs of disease related malnutrition in The Netherlands.
METHODS
A cost-of-illness analysis was used to calculate the additional total costs of disease related malnutrition in adults (>18 years of age) for The Netherlands in 2011 in the hospital, nursing- and residential home and home care setting, expressed as an absolute monetary value as well as a percentage of the total Dutch national health expenditure and as a percentage of the total costs of the studied health care sectors in The Netherlands.
RESULTS
The total additional costs of managing adult patients with disease related malnutrition were estimated to be € 1.9 billion in 2011 which equals 2.1% of the total Dutch national health expenditure and 4.9% of the total costs of the health care sectors analyzed in this study.
CONCLUSIONS
The results of this study show that the additional costs of disease related malnutrition in adults in The Netherlands are considerable.
背景与目的
疾病相关营养不良（由疾病引起的营养不足）是全球所有医疗保健环境中的一个问题，可能会对身体和心理社会层面产生严重后果。在欧盟国家，约有 2000 万患者受到疾病相关营养不良的影响，欧盟政府为此每年花费高达 1200 亿欧元。本研究旨在计算荷兰疾病相关营养不良的总额外成本。
方法
采用疾病成本分析方法，计算 2011 年荷兰医院、护理院和养老院以及家庭护理环境中成年（>18 岁）患者疾病相关营养不良的额外总成本，以绝对货币价值以及荷兰国家卫生支出总额的百分比和荷兰研究卫生保健部门总成本的百分比表示。
结果
2011 年，管理患有疾病相关营养不良的成年患者的总额外成本估计为 19 亿欧元，相当于荷兰国家卫生支出总额的 2.1%和本研究分析的卫生保健部门总成本的 4.9%。
结论
本研究结果表明，荷兰成年人疾病相关营养不良的额外成本相当可观。
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