Zimmer Stefan, Spyra Anna, Kreimendahl Fabian, Blaich Cornelia, Rychlik Reinhard
a Faculty of Health, Department of Operative and Preventive Dentistry , Dental School, Witten/Herdecke University , Witten , Germany.
b Institute of Empirical Health Economics , Burscheid , Germany.
Acta Odontol Scand. 2018 Aug;76(6):407-414. doi: 10.1080/00016357.2018.1487994. Epub 2018 Jun 27.
To analyse the lifetime monetary and health related effects of the consumption of sugar-free chewing gum.
Using a Markov model we assumed that the German consumption of sugar-free chewing gum (111 gums/year) could be elevated to the level of Finland (202 gums/year). The calculation was based on a model patient representing the development of oral health from the age of 12 to 74 years and clinical data on the effectiveness of chewing sugar-free gum. Lifetime and yearly costs for the 'Finland-scenario' were determined and compared with the actual German expenses of the statutory health insurance companies for dental health.
The actual total lifetime expenditures of the statutory health insurance companies are 17,199.96€ per capita and would be 12,188.94€ in the scenario with elevated consumption of sugar-free chewing gum in Germany. Thus, 5011.02€ per capita could be saved in a lifetime and 80.82€ per year.
On a national scale, the elevation of the consumption of sugar-free chewing gum in Germany to the level of Finland would lead to a considerable benefit for cost saving and oral health for the statutory health insurance companies.
分析食用无糖口香糖对终生的金钱及健康相关影响。
使用马尔可夫模型，我们假设德国无糖口香糖的消费量（每年111支）可提高到芬兰的水平（每年202支）。计算基于一名代表12岁至74岁口腔健康发展的模型患者以及无糖口香糖有效性的临床数据。确定了“芬兰情景”的终生成本和年度成本，并与法定健康保险公司在牙齿健康方面的实际德国支出进行了比较。
法定健康保险公司的实际人均终生总支出为17199.96欧元，在德国无糖口香糖消费量增加的情景下，这一支出将为12188.94欧元。因此，人均终生可节省5011.02欧元，每年可节省80.82欧元。
在全国范围内，将德国无糖口香糖的消费量提高到芬兰的水平将为法定健康保险公司带来可观的成本节约和口腔健康效益。
