Díaz-Jiménez Diana, Castañeda-Orjuela Carlos, Castillo-Rodríguez Liliana, De la Hoz-Restrepo Fernando
Colombian National Health Observatory, National Institute of Health, Bogotá, Colombia.
Colombian National Health Observatory, National Institute of Health, Bogotá, Colombia.
Value Health Reg Issues. 2015 Dec;8:129-135. doi: 10.1016/j.vhri.2015.08.007. Epub 2015 Dec 6.
To estimate the economic costs of avoidable mortality (AM) in Colombia during the period 1998 to 2011, with the human capital perspective valuing the productivity lost.
The information of cases of avoidable death was identified from the Colombian official general mortality database, and we estimated the potential productivity years of life lost, assuming a productive life span between 18 years and 57 years and 18 years and 62 years in women and men, respectively. Two scenarios were built: lower loss with the minimum wage, and higher loss with the per capita gross domestic product. Total costs for the period were reported by sex and health event. Average cost per 1000 people was also estimated. All costs were adjusted and reported in 2012 US dollars.
Sixty-eight percent of the total AM in Colombia during the period 1998 to 2011 occurred during or before the productivity age. The total AM costs were estimated to range between US $80.5 million and US $150.4 million. Higher costs of AM were incurred in men. Events from the injuries group caused the higher productivity lost.
All the avoidable deaths in Colombia have a huge economic impact from the productivity lost perspective, equivalent to between 1.6% and 3.0% of the annual gross domestic product. The cost analyses in public health are an additional input for decision making and prioritization of intervention.
从人力资本角度评估1998年至2011年期间哥伦比亚可避免死亡（AM）的经济成本，即对损失的生产力进行估值。
从哥伦比亚官方总体死亡率数据库中识别可避免死亡病例信息，分别假设女性和男性的生产寿命为18岁至57岁以及18岁至62岁，估算潜在生产力寿命损失年数。构建了两种情景：按最低工资计算的较低损失情景和按人均国内生产总值计算的较高损失情景。按性别和健康事件报告该期间的总成本。还估算了每1000人的平均成本。所有成本均进行了调整并以2012年美元报告。
1998年至2011年期间哥伦比亚AM总数的68%发生在生产力年龄期间或之前。AM总成本估计在8050万美元至1.504亿美元之间。男性的AM成本更高。伤害组事件导致的生产力损失更大。
从生产力损失角度来看，哥伦比亚所有可避免死亡都产生了巨大的经济影响，相当于国内生产总值年值的1.6%至3.0%。公共卫生领域的成本分析是决策和干预优先排序的额外依据。
