Comparing the national economic burden of five chronic conditions
Comparing the national economic burden of five chronic conditions
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DOI：
10.1377/hlthaff.20.6.233
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发表时间：
2001-11-01
期刊：
影响因子：
9.7
通讯作者：
Pincus, HA
中科院分区：
文献类型：
--
作者：
Druss, BG;Marcus, SC;Pincus, HA
我们使用具有全国代表性的 23,230 名美国居民样本，研究了五种慢性疾病的经济负担模式：情绪障碍、糖尿病、心脏病、哮喘和高血压。 1996 年，美国几乎一半的医疗费用是由患有这五种疾病中的一种或多种的人承担的；在这笔支出中，只有大约四分之一用于治疗疾病本身，其余的则用于治疗共存疾病。每种情况都显示出巨大的经济负担，但服务使用的独特特征和模式也导致了这些成本。研究结果强调了了解特定慢性病的需求和改善护理所面临的不同挑战。
Using a nationally representative sample of 23,230 U.S. residents, we examine patterns of economic burden across five chronic conditions: mood disorders, diabetes, heart disease, asthma, and hypertension. Almost half of U.S. health care costs in 1996 were borne by persons with one or more of these five conditions; of that spending amount, only about one-quarter was spent on treating the conditions themselves and the remainder on coexistent illnesses. Each condition demonstrated substantial economic burden but also unique characteristics and patterns of service use driving those costs. The findings highlight the differing challenges involved in understanding needs and improving care across particular chronic conditions.