A Nationwide Community-Based Lifestyle Program Could Delay Or Prevent Type 2 Diabetes Cases And Save $5.7 Billion In 25 Years
A Nationwide Community-Based Lifestyle Program Could Delay Or Prevent Type 2 Diabetes Cases And Save $5.7 Billion In 25 Years
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DOI：
10.1377/hlthaff.2011.1115
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发表时间：
2012-01-01
期刊：
影响因子：
9.7
通讯作者：
Albright, Ann
中科院分区：
文献类型：
--
作者：
Zhuo, Xiaohui;Zhang, Ping;Albright, Ann
糖尿病日益增加的健康和经济负担使得预防该疾病成为公共卫生的优先事项。但投资此类慢性病预防项目需要长远眼光，因为下游节省可能需要很多年才能完全抵消前期干预成本。使用模拟模型，我们预测了预防 2 型糖尿病的全国性社区生活方式干预计划的成本和收益。考虑到美国医疗保健系统的所有成本，我们的结果表明该计划将在十四年内实现收支平衡。在 25 年内，该计划将在美国预防或延缓约 885,000 例 2 型糖尿病病例，并在全国范围内节省 57 亿美元。如果仅限于 65 至 84 岁的人群，该计划将节省 24 亿美元。因此，在全国范围内实施这样的计划将是对医疗保健资源的有效利用，尽管可能有必要所有医疗保险公司都参与分担预防费用。我们的研究结果还表明，虽然预防计划可以为年轻人和老年人节省成本，但如果针对 65 岁以下的人，则可以实现更大的健康和经济收益。
The increasing health and economic burden of diabetes has made preventing the disease a public health priority. But investing in such chronic disease prevention programs requires a long-term horizon because many years may be required for the downstream savings to fully offset the up-front intervention cost. Using a simulation model, we projected the costs and benefits of a nationwide community-based lifestyle intervention program for preventing type 2 diabetes. Accounting for all costs to the US health care system, our results indicate that the program would break even in fourteen years. Within twenty-five years, the program would prevent or delay about 885,000 cases of type 2 diabetes in the United States and produce savings of $5.7 billion nationwide. If restricted to people ages 65-84, the program would save $2.4 billion. Thus, implementing such a program nationwide would be an efficient use of health care resources, although it might be necessary for all health insurers to participate to share prevention costs. Our results also indicate that although a prevention program would lead to cost savings in both younger and older people, it would achieve greater health and economic gains if it were directed at people under age sixty-five.