Physical inactivity - Direct cost to a health plan
Physical inactivity - Direct cost to a health plan
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DOI：
10.1016/j.amepre.2004.07.014
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发表时间：
2004-11-01
影响因子：
5.5
通讯作者：
Huber, MR
中科院分区：
文献类型：
--
作者：
Garrett, NA;Brasure, M;Huber, MR
目的：本研究的目的是估计总的医疗支出归因于一个大的健康计划，蓝十字蓝盾Minnesota.Methods的成员之间的身体活动不足的模式：该研究采用了疾病的成本的方法属性的医疗和药房费用为特定疾病的身体活动不足，在2000年。相对风险来自科学文献，表明心脏病、中风、高血压、2型糖尿病、结肠癌、乳腺癌、骨质疏松症、抑郁症和焦虑症与成年人的个体体力活动模式直接相关。数据来源是2000年行为危险因素监测系统和2000年150万18岁以上健康计划成员中发生的医疗索赔。结果：近12%的抑郁症和焦虑症以及31%的结肠癌、心脏病、骨质疏松症和中风病例可归因于缺乏身体活动。心脏病是健康计划人群中缺乏身体活动造成的最昂贵的后果，2000年的费用为3 530万美元。总的健康计划支出归因于缺乏身体活动是8360万美元，或56美元每member.Conclusions：这项研究证实了越来越多的研究量化缺乏身体活动作为一个严重的和昂贵的公共卫生问题。与缺乏身体活动相关的成本由纳税人，雇主和个人以更高的税收形式承担，以补贴公共保险计划和增加的健康保险费。(C)2004年美国预防医学杂志。
Purpose: The purpose of this study was to estimate the total medical expenditures attributable to physical inactivity patterns among members of a large health plan, Blue Cross Blue Shield of Minnesota.Methods: The study used a cost-of-illness approach to attribute medical and pharmacy costs for specific diseases to physical inactivity in 2000. Relative risks come from the scientific literature, demonstrating that heart disease, stroke, hypertension, type 2 diabetes, colon cancer, breast cancer, osteoporosis, depression, and anxiety are directly related to individual physical activity patterns in adults. Data sources were the 2000 Behavioral Risk Factor Surveillance System and medical claims incurred in 2000 among 1.5 million health plan members aged greater than or equal to18 years. Primary analysis was completed in 2002.Results: Nearly 12% of depression and anxiety and 31% of colon cancer, heart disease, osteoporosis, and stroke cases were attributable to physical inactivity. Heart disease was the most expensive outcome of physical inactivity within the health plan population, costing $35.3 million in 2000. Total health plan expenditures attributable to physical inactivity were $83.6 million, or $56 per member.Conclusions: This study confirms the growing body of research quantifying physical inactivity as a serious and expensive public health problem. The costs associated with physical inactivity are borne by taxpayers, employers, and individuals in the form of higher taxes to subsidize public insurance programs and increased health insurance premiums. (C) 2004 American journal of Preventive Medicine.