Clay Emilie, Zhou Junwen, Yi Zhan-Miao, Zhai Suodi, Toumi Mondher
Health Economics and Outcomes Research Department, Creativ-Ceutical, Paris, France.
Public Health Department - Research Unit EA 3279, Aix-Marseille University, Marseille, France.
J Mark Access Health Policy. 2019 Sep 26;7(1):1667195. doi: 10.1080/20016689.2019.1667195. eCollection 2019.
: We aimed to conduct a modelling study to estimate and predict the economic burden of AD to support the healthcare management of AD in China. : The economic burden of AD was estimated with an evaluation of the prevalence of AD patients and a simulation of annual resource use and cost per AD patient in China using a published model. Percentage of AD patients being treated was assumed to be 5% from 2010 to 2050, with three scenarios testing the value of this parameter of 10%, 20% and 40% throughout 2020 to 2050. : The costs of AD were estimated to be from around 91 billion RMB in 2010 to 332 billion in 2050. Most of the current burden was related to private caregivers paid by families. With the percentage of patients being treated changing from 5% to 40%, costs were estimated to double. This was related to more hospitalisations and more use of care facilities, while the burden for families would decrease. : A high economic burden related to AD is predicted. The burden would be driven mainly by indirect costs related to the social support of the patients. Investment in improving awareness and care of AD patients is needed and worth it.
我们旨在开展一项建模研究,以估计和预测阿尔茨海默病(AD)的经济负担,为中国AD的医疗管理提供支持。通过评估AD患者的患病率,并使用已发表的模型模拟中国每位AD患者的年度资源使用情况和成本,来估计AD的经济负担。假设2010年至2050年接受治疗的AD患者比例为5%,并通过三种情景测试2020年至2050年该参数值为10%、20%和40%时的情况。估计AD的成本从2010年的约910亿元人民币到2050年的3320亿元人民币。目前的负担大部分与家庭支付的私人护理人员有关。随着接受治疗的患者比例从5%变为40%,成本估计会翻倍。这与更多的住院治疗和更多地使用护理设施有关,而家庭负担将会减轻。预计AD会带来高昂的经济负担。这种负担将主要由与患者社会支持相关的间接成本驱动。需要并值得投资于提高对AD患者的认识和护理。