Helyer A J, Brehm W T, Perino L
81 MDSS/SGSFE, Keesler Air Force Base, MS 39534-2629, USA.
Mil Med. 1998 Apr;163(4):217-21.
This study used Centers for Disease Control and Prevention methodology to analyze the costs of smoking-attributable mortality and morbidity within the Department of Defense (DoD) based on health care costs, characteristics of the beneficiary population, and disease characteristics. Direct health care costs attributed to smoking were estimated at $584 million. Smoking-attributable disease accounted for 16% of the deaths as well as approximately 10% of all hospital bed days and 1.5% of all active duty hospitalizations. Lost productivity among active duty personnel for hospitalization and smoke breaks was valued at $346 million. A significant portion of DoD health care resources is spent caring for smoking-attributable disease, which is preventable. This report reinforces the benefits possible from the new emphasis on wellness promotion within the DoD. Efforts are needed to prevent the initiation of smoking and encourage smoking cessation in order to reduce health care costs and increase the probability for long and healthy lives for DoD beneficiaries.
本研究采用疾病控制与预防中心的方法，基于医疗保健成本、受益人群特征和疾病特征，分析了国防部内吸烟所致死亡和发病的成本。归因于吸烟的直接医疗保健成本估计为5.84亿美元。吸烟所致疾病占死亡人数的16%，约占所有住院天数的10%以及所有现役军人住院治疗的1.5%。现役人员因住院和吸烟休息而导致的生产力损失价值3.46亿美元。国防部的大量医疗保健资源用于治疗吸烟所致疾病，而这是可以预防的。本报告强调了国防部新的健康促进重点可能带来的益处。需要做出努力来防止开始吸烟并鼓励戒烟，以降低医疗保健成本，并提高国防部受益人的长寿和健康生活概率。
