Listl S, Galloway J, Mossey P A, Marcenes W
Heidelberg University, Translational Health Economics Group, Department of Conservative Dentistry, Heidelberg, Germany Max Planck Institute for Social Law and Social Policy, Munich Center for the Economics of Aging, Munich, Germany
University of Dundee Dental School, Dundee, UK.
J Dent Res. 2015 Oct;94(10):1355-61. doi: 10.1177/0022034515602879. Epub 2015 Aug 28.
Reporting the economic burden of oral diseases is important to evaluate the societal relevance of preventing and addressing oral diseases. In addition to treatment costs, there are indirect costs to consider, mainly in terms of productivity losses due to absenteeism from work. The purpose of the present study was to estimate the direct and indirect costs of dental diseases worldwide to approximate the global economic impact. Estimation of direct treatment costs was based on a systematic approach. For estimation of indirect costs, an approach suggested by the World Health Organization's Commission on Macroeconomics and Health was employed, which factored in 2010 values of gross domestic product per capita as provided by the International Monetary Fund and oral burden of disease estimates from the 2010 Global Burden of Disease Study. Direct treatment costs due to dental diseases worldwide were estimated at US$298 billion yearly, corresponding to an average of 4.6% of global health expenditure. Indirect costs due to dental diseases worldwide amounted to US$144 billion yearly, corresponding to economic losses within the range of the 10 most frequent global causes of death. Within the limitations of currently available data sources and methodologies, these findings suggest that the global economic impact of dental diseases amounted to US$442 billion in 2010. Improvements in population oral health may imply substantial economic benefits not only in terms of reduced treatment costs but also because of fewer productivity losses in the labor market.
报告口腔疾病的经济负担对于评估预防和治疗口腔疾病的社会意义至关重要。除了治疗成本外,还需要考虑间接成本,主要是因缺勤导致的生产力损失。本研究的目的是估计全球牙科疾病的直接和间接成本,以近似全球经济影响。直接治疗成本的估计基于一种系统方法。对于间接成本的估计,采用了世界卫生组织宏观经济与卫生委员会建议的一种方法,该方法考虑了国际货币基金组织提供的2010年人均国内生产总值值以及2010年全球疾病负担研究中的口腔疾病负担估计值。全球牙科疾病的直接治疗成本估计为每年2980亿美元,相当于全球卫生支出平均4.6%。全球牙科疾病的间接成本每年达1440亿美元,相当于全球10种最常见死因范围内的经济损失。在现有数据来源和方法的局限性内,这些发现表明2010年牙科疾病的全球经济影响达4420亿美元。改善人群口腔健康可能不仅在降低治疗成本方面,而且由于劳动力市场生产力损失减少而意味着巨大的经济效益。