IDF Diabetes Atlas estimates of 2014 global health expenditures on diabetes
IDF Diabetes Atlas estimates of 2014 global health expenditures on diabetes
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DOI：
10.1016/j.diabres.2016.04.016
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发表时间：
2016-07-01
影响因子：
5.1
通讯作者：
Makaroff, Lydia E.
中科院分区：
文献类型：
--
作者：
Fernandes, Joao da Rocha;Ogurtsova, Katherine;Makaroff, Lydia E.
目的：估计2014年世界及其地区糖尿病所致卫生支出。方法：采用归因分数法估计糖尿病所致卫生支出。数据来源于国际糖尿病联合会（IDF）对糖尿病患病率的估计、联合国人口预测、世卫组织年度卫生支出报告以及对糖尿病患者和非糖尿病患者费用比的估计。卫生支出以美元（USD）和国际元（ID）计算。结果：2014年全球糖尿病患者的平均卫生支出估计为1583美元（ID 1742）至2842美元（ID 3110）。据估计，全球每年用于糖尿病的卫生支出从6120亿美元（6730亿伊拉克第纳尔）到10990亿美元（12020亿伊拉克第纳尔）不等。北美和加勒比地区以及欧洲地区共承担了69%以上的成本，非洲地区、东南亚地区以及中东和北非地区的成本总和不到10%。北美和加勒比地区的糖尿病患者人均年支出最高（7984美元[ID 8040.39]），而东南亚地区的糖尿病患者人均年支出最低（92美元[ID 234]）。结论：糖尿病给全世界的卫生保健系统带来了巨大的经济负担，但世界各地区的情况各不相同。糖尿病的预防和有效管理应该是公共卫生的优先事项，以减轻财政负担。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Aims: To estimate health expenditures due to diabetes in 2014 for the world and its regions.Methods: Diabetes-attributable health expenditures were estimated using an attributable fraction method. Data were sourced from International Diabetes Federation (IDF) estimates of diabetes prevalence, UN population projections, WHO annual health expenditure reports, and estimates of the cost ratio of people with and without diabetes. Health expenditures were calculated in both US dollars (USD) and international dollars (ID).Results: The average health expenditure per person with diabetes worldwide in 2014 was estimated to range from USD 1583 (ID 1742) to USD 2842 (ID 3110). The estimated annual global health expenditure attributable to diabetes ranged from USD 612 billion (ID 673 billion) to USD 1099 billion (ID 1202 billion). Together, the North America and Caribbean Region and the Europe Region were responsible for over 69% of the costs, and less than 10% of the costs were from the Africa Region, South East Asia Region, and Middle East and North Africa Region combined. The North America and Caribbean Region had the highest annual spending per person with diabetes (USD 7984 [ID 8040.39]), while the South East Asia Region had the lowest annual spending per person with diabetes (USD 92 [ID 234]).Conclusions: Diabetes imposes a large economic burden on health care systems across the world, yet varies across world regions. Diabetes prevention and effective management of diabetes should be a public health priority to reduce the financial burden. (C) 2016 Elsevier Ireland Ltd. All rights reserved.