The current cost of heart failure to the National Health Service in the UK
The current cost of heart failure to the National Health Service in the UK
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DOI：
10.1016/s1388-9842(01)00198-2
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发表时间：
2002-06-01
影响因子：
18.2
通讯作者：
McMurray, JJJV
中科院分区：
文献类型：
--
作者：
Stewart, S;Jenkins, A;McMurray, JJJV
我们最近发现，英国心力衰竭入院率持续上升，尤其是老年群体。由于医院活动是与心力衰竭相关的医疗保健支出的主要成本组成部分，因此本研究评估了英国国家医疗服务体系 (NHS) 目前这种综合征的成本。我们根据特定年龄和性别对整个英国人口的与心力衰竭相关的医疗保健活动进行了当代估计，以计算 1995 年 NHS 的成本。这些估计中包含的医疗保健的直接组成部分是与心力衰竭主要诊断相关的住院、相关门诊咨询、全科咨询和处方药物治疗。我们还计算了原发性心力衰竭入院后的疗养院护理费用以及与心力衰竭二次诊断相关的住院费用。根据医院活动可能增加和英国人口逐渐老龄化的情况进行调整，我们还预测了 2000 年 NHS 心力衰竭的费用。我们估计 1995 年英国有 988000 人需要治疗心力衰竭。这些患者的“直接”医疗费用估计为 7.16 亿英镑，占 NHS 总支出的 1.83%。住院费用和药物处方费用分别占该支出的 69% 和 18%。与长期疗养院护理和继发性心力衰竭入院相关的额外费用又占 7.51 亿英镑（占 NHS 总支出的 2.0%）。到 2000 年，我们估计心力衰竭的直接总费用将上升到 9.05 亿英镑，相当于 NHS 总支出的 1.91%。这些研究结果利用经过充分验证的数据集，再次证实了心力衰竭作为英国主要公共卫生问题的重要性。 2000 年，NHS 每年因心力衰竭造成的直接费用可能占总支出的 1.9%，其中主要费用是住院费用。 (C) 2002 年欧洲心脏病学会。由 Elsevier Science B.V. 出版。保留所有权利。
We have recently shown that heart failure admission rates continue to increase in the UK - particularly in older age groups. As hospital activity represents the major cost component of healthcare expenditure related to heart failure, this study evaluated the current cost of this syndrome to the National Health Service (NHS) in the UK. We applied contemporary estimates of healthcare activity associated with heart failure to the whole UK population on an age and sex-specific basis to calculate its cost to the NHS for the year 1995. Direct components of healthcare included in these estimates were hospital admissions associated with a principal diagnosis of heart failure, associated outpatient consultations, general practice consultations and prescribed drug therapy. We also calculated the cost of nursing-home care following a primary heart failure admission and the cost of hospitalisations associated with a secondary diagnosis of heart failure. Adjusting for probable increases in hospital activity and the progressive ageing of the UK population, we have also projected the cost of heart failure to the NHS for the year 2000. We estimated that there were 988000 individuals requiring treatment for heart failure in the UK during 1995. The 'direct' cost of healthcare for these patients was estimated to be pound716 million, or 1.83% of total NHS expenditure. Hospitalisations and drug prescriptions accounted for 69 and 18% of this expenditure, respectively. The additional costs associated with long-term nursing home care and secondary heart failure admissions accounted for a further pound751 million (2.0% of total NHS expenditure). By the year 2000, we estimated that the combined total direct cost of heart failure would have risen to pound905 million - equivalent to 1.91% of total NHS expenditure. Using well-validated sets of data, these findings re-confirm the importance of heart failure as a major public health problem in the UK. The annual direct cost of heart failure to the NHS in 2000 is likely to be of the order of 1.9% of total expenditure - the predominant cost component being hospitalisation. (C) 2002 European Society of Cardiology. Published by Elsevier Science B.V. All rights reserved.