Department of Pediatrics, Nihon University School of Medicine, 1-6 Kandasurugadai, Chiyoda-ku, Tokyo, Japan.
Curr Diab Rep. 2019 Jan 16;19(1):2. doi: 10.1007/s11892-019-1122-9.
The economic burden of diabetes in Japan is already serious and will become greater in the future. We review the economic impact of diabetes in Japan to examine viable options for mitigating its effects.
Medical costs for diabetes have been increasing by US $1 million annually, reaching US $11 million in 2009, of which US $7 million was accounted for by people aged 65 years or older. The quality of treatment of diabetes in Japan is higher than in other regions in the world. This can be more effective for achieving glycemic control, but is also more expensive compared with conventional treatment. Because of the high cost of diabetes in Japan, a coordinated response is needed. Intervention trials for people with prediabetes aimed at preventing the occurrence of diabetes seem to be the most cost-effective method for lowering the medical costs of diabetes, rather than the use of new, expensive antidiabetic drugs in patients with established diabetes.
日本的糖尿病经济负担已经很严重,未来还会更严重。我们综述日本糖尿病的经济影响,以探讨减轻其影响的可行方案。
糖尿病的医疗费用每年增加 100 万美元,2009 年达到 1100 万美元,其中 700 万美元由 65 岁或以上的人承担。日本的糖尿病治疗质量高于世界其他地区。这对于实现血糖控制可能更有效,但与传统治疗相比费用更高。由于日本糖尿病的高成本,需要协调应对。针对糖尿病前期人群的干预试验,旨在预防糖尿病的发生,似乎是降低糖尿病医疗费用最具成本效益的方法,而不是在已确诊的糖尿病患者中使用新的、昂贵的降糖药物。