Impact of cardiovascular risk factors on medical expenditure: evidence from epidemiological studies analysing data on health checkups and medical insurance.
Impact of cardiovascular risk factors on medical expenditure: evidence from epidemiological studies analysing data on health checkups and medical insurance.
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DOI：
10.2188/jea.je20140096
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发表时间：
2014
影响因子：
4.7
通讯作者：
Nakamura K
中科院分区：
文献类型：
--
作者：
Nakamura K
人们越来越关注日本的医疗经济负担，其中约20%可归因于心血管疾病，包括冠心病和中风。由于管理风险因素对于预防心血管疾病至关重要，因此了解日本人口中心血管风险因素与医疗支出之间的关系非常重要。然而，只有少数分析健康检查和医疗保险数据的日本流行病学研究提供了关于这一主题的证据。患有心血管危险因素（包括肥胖、高血压和糖尿病）的患者，可能会因治疗危险因素本身以及通常需要住院治疗、有时导致死亡的相关疾病而产生医疗支出。未经治疗的危险因素可能导致医疗支出激增，主要是由于长期住院，比通过药物预防治疗的危险因素更常见。在个体患者层面上，医疗支出随着伴随心血管危险因素的增加而增加。对于单一风险因素，个人医疗支出可能随着该因素的严重程度而增加。然而，在人口水平上，心血管危险因素造成的医疗经济负担主要来自单一的、特别普遍的危险因素，特别是该因素的轻度至中度异常水平。因此，心血管风险因素需要在治疗高风险患者的成本效益战略和减少心血管疾病造成的健康不良和医疗经济负担的人口战略的基础上进行管理。
Concerns have increasingly been raised about the medical economic burden in Japan, of which approximately 20% is attributable to cardiovascular disease, including coronary heart disease and stroke. Because the management of risk factors is essential for the prevention of cardiovascular disease, it is important to understand the relationship between cardiovascular risk factors and medical expenditure in the Japanese population. However, only a few Japanese epidemiological studies analysing data on health checkups and medical insurance have provided evidence on this topic. Patients with cardiovascular risk factors, including obesity, hypertension, and diabetes, may incur medical expenditures through treatment of the risk factors themselves and through procedures for associated diseases that usually require hospitalization and sometimes result in death. Untreated risk factors may cause medical expenditure surges, mainly due to long-term hospitalization, more often than risk factors preventively treated by medication. On an individual patient level, medical expenditures increase with the number of concomitant cardiovascular risk factors. For single risk factors, personal medical expenditure may increase with the severity of that factor. However, on a population level, the medical economic burden attributable to cardiovascular risk factors results largely from a single, particularly prevalent risk factor, especially from mildly-to-moderately abnormal levels of the factor. Therefore, cardiovascular risk factors require management on the basis of both a cost-effective strategy of treating high-risk patients and a population strategy for reducing both the ill health and medical economic burdens that result from cardiovascular disease.
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影响因子：
4.4
作者：
Nakamura, Koshi;Okamura, Tomonori;Ueshima, Hirotsugu
通讯作者：
Ueshima, Hirotsugu
影响因子：
3.7
作者：
Nakamura, Koshi;Sakurai, Masaru;Nakagawa, Hideaki
通讯作者：
Nakagawa, Hideaki
影响因子：
1.5
作者：
Kohro, Takahide;Furui, Yuji;Nagai, Ryozo
通讯作者：
Nagai, Ryozo
影响因子：
4.9
作者：
Nakamura, Koshi;Miura, Katsuyuki;Okayama, Akira
通讯作者：
Okayama, Akira
影响因子：
3.3
作者：
Okamura, Tomonori;Nakamura, Koshi;Ueshima, Hirotsugu
通讯作者：
Ueshima, Hirotsugu