大型雇主健康福利计划参与者中双相情感障碍的长期医疗保健利用情况及成本
Long-Term Healthcare Utilization and the Cost of Bipolar Disorder Among Participants in a Large Employer's Health Benefit Plan.
作者信息
Leung Nina, Bernacki Seth E, Kalia Nimisha, Bernacki Edward J, Almeida Jorge R C
机构信息
Department of Population Health (Dr Leung); Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Leung, Dr Kalia, Dr Bernacki); Texas Mutual Insurance Company (Dr Leung); Campbell University School of Osteopathic Medicine, North Carolina (Dr Bernacki); General Electric, Cinncinati, Ohio (Dr Kalia); Department of Psychiatry and Behavior Sciences (Dr Almeida), Department of Population Health (Dr Leung, Dr Bernacki), Dell Medical School, the University of Texas at Austin, Austin, Texas.
出版信息
J Occup Environ Med. 2022 Mar 1;64(3):e124-e130. doi: 10.1097/JOM.0000000000002465.
OBJECTIVE
Bipolar disorder (BD) is a chronic illness with recurrent exacerbations. The objective was to evaluate longitudinal costs related to BD in an employer-sponsored medical plan.
METHODS
This analysis utilized 5 years of administrative claims data. Claimants with a diagnosis of BD were matched to plan members (1:5) based on age, sex, and years of follow-up.
RESULTS
Medical costs for hospitalized BD members were 3.5 times more expensive than the general population (BDhosp = $92.2K vs General population = $26.8K). Average 5-year paid costs among hospitalized members with BD was $107K, $105.4K with cancer, and $103.3K with myocardial infarction (MI).
CONCLUSIONS
Hospitalized BD plan members consumed more than 3.5 times the medical resources and were similar in longitudinal costs when compared with members with other costly conditions. These findings highlight the need for novel employer-sponsored programs to help manage BD.
目的
双相情感障碍（BD）是一种伴有反复加重发作的慢性疾病。本研究旨在评估雇主赞助的医疗保险计划中与双相情感障碍相关的长期成本。
方法
本分析使用了5年的行政索赔数据。根据年龄、性别和随访年限，将诊断为双相情感障碍的索赔者与计划成员进行匹配（1:5）。
结果
双相情感障碍住院成员的医疗费用比普通人群高出3.5倍（双相情感障碍住院患者 = 92,200美元，普通人群 = 26,800美元）。双相情感障碍住院成员的5年平均支付成本为107,000美元，癌症患者为105,400美元，心肌梗死（MI）患者为103,300美元。
结论
与患有其他高成本疾病的成员相比，双相情感障碍住院计划成员消耗的医疗资源超过3.5倍，且长期成本相似。这些发现凸显了新型雇主赞助项目对双相情感障碍管理的必要性。
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