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浙江省阿尔茨海默病的经济负担。

The Economic Burden of Alzheimer's Disease in Zhejiang Province.

机构信息

Department of Psychological Medicine, Cancer Hospital of the University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.

Department of Psychiatry, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.

出版信息

J Alzheimers Dis. 2021;80(2):539-553. doi: 10.3233/JAD-201285.

Abstract

BACKGROUND

The World Alzheimer Report has described and predicted the economic burden of Alzheimer's disease (AD) patients in detail for four consecutive years. There was a large-scale national survey in China launched by Professor Jianping Jia in 2015, but it did not adequately represent the average economic burden of AD patients in Zhejiang Province.

OBJECTIVE

To investigate the economic burden and main factors influencing Alzheimer's disease (AD) in Zhejiang Province.

METHODS

We recruited 830 patients from 10 cities in Zhejiang Province, evaluated their per capita and total cost related to AD treatment and care in 2017, and analyzed the main factors affecting economic burden from the perspective of demographic characteristics and disease severity.

RESULTS

In 2017, per capita cost of AD was 114,343.7 yuan, while the total cost was 27.53 billion yuan, accounting for 0.77% of Zhejiang Province's GDP (5176.8 billion yuan). Total cost, direct medical cost, and indirect cost have different correlations with age, education level, type of work, marital status, comorbidity, and disease severity.

CONCLUSION

The economic burden of AD in Zhejiang Province is heavy, similar to the national burden, and interventions based on demographic characteristics and disease severity can help reduce it.

摘要

背景

《世界阿尔茨海默病报告》连续四年详细描述和预测了阿尔茨海默病(AD)患者的经济负担。2015 年,贾建平教授在我国开展了一项大规模的全国性调查,但未能充分代表浙江省 AD 患者的平均经济负担。

目的

调查浙江省阿尔茨海默病(AD)的经济负担及其主要影响因素。

方法

我们从浙江省 10 个城市招募了 830 名患者,评估了他们 2017 年与 AD 治疗和护理相关的人均和总费用,并从人口统计学特征和疾病严重程度的角度分析了影响经济负担的主要因素。

结果

2017 年 AD 的人均费用为 114343.7 元,总费用为 275.3 亿元,占浙江省 GDP(51768 亿元)的 0.77%。总费用、直接医疗费用和间接费用与年龄、教育程度、工作类型、婚姻状况、合并症和疾病严重程度均有不同程度的相关性。

结论

浙江省 AD 的经济负担沉重,与全国负担相似,基于人口统计学特征和疾病严重程度的干预措施有助于减轻这一负担。

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