Global and regional estimates and projections of diabetes-related health expenditure: Results from the International Diabetes Federation Diabetes Atlas, 9th edition
Global and regional estimates and projections of diabetes-related health expenditure: Results from the International Diabetes Federation Diabetes Atlas, 9th edition
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DOI：
10.1016/j.diabres.2020.108072
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发表时间：
2020-04-01
影响因子：
5.1
通讯作者：
Colagiuri, Stephen
中科院分区：
文献类型：
--
作者：
Williams, Rhys;Karuranga, Suvi;Colagiuri, Stephen
目的：糖尿病及其并发症对个人及其家庭、卫生系统和国民经济都有重大的经济影响。方法：根据以下输入数据计算糖尿病的直接卫生费用：确诊和未确诊的糖尿病患病率估计，联合国人口估计，世界卫生组织人均卫生支出以及糖尿病患者与非糖尿病患者的卫生支出比率结果：2019年全球糖尿病直接卫生支出估计为7600亿美元，预计到2030年将增长到8250亿美元，到2045年将增长到8450亿美元。每年用于糖尿病的医疗费用差异很大。美利坚合众国的估计支出最高，为2946亿美元，其次是中国和巴西，分别为1090亿美元和523亿美元。年度糖尿病相关医疗支出最大的年龄段是60-69岁，为1777亿美元，其次是50-59岁，70-79岁，分别为1730亿美元和1715亿美元。女性与糖尿病相关的医疗支出略高于男性（分别为3，826亿美元和3，776亿美元）。预计2030年和2045年将出现同样的差异。结论：高收入、中等收入和低收入国家之间存在巨大差距，高收入国家的卫生总支出是低收入国家的300倍以上。这几组国家的人均年度直接保健支出比率超过38倍。(C)2020爱思唯尔B. V.保留所有权利。
Aims: Diabetes and its complications have a significant economic impact on individuals and their families, health systems and national economies.Methods: The direct health expenditure of diabetes was calculated relying on the following inputs: diagnosed and undiagnosed diabetes prevalence estimates, United Nations population estimates, World Health Organization health expenditure per capita and ratios of health expenditure for people with diabetes compared to people without diabetes.Results: The estimated global direct health expenditure on diabetes in 2019 is USD 760 billion and is expected to grow to a projected USD 825 billion by 2030 and USD 845 billion by 2045. There is a wide variation in annual health expenditures on diabetes. The United States of America has the highest estimated expenditure with USD 294.6 billion, followed by China and Brazil, with USD 109.0 billion and USD 52.3 billion, respectively. The age group with the largest annual diabetes-related health expenditure is 60-69 years with USD 177.7 billion, followed by 50-59 years, and 70-79 years with USD 173.0 billion and USD 171.5 billion, respectively. Slightly higher diabetes-related health expenditure is seen in women than in men (USD 382.6 billion vs. USD 377.6 billion, respectively). The same difference is expected to be present in 2030 and 2045.Conclusions: There were large disparities between high-, middle- and low-income countries with total health expenditures in high-income countries being over 300 times those in low-income countries. The ratio for annual direct health expenditure per person between these groups of countries is more than 38-fold. (C) 2020 Elsevier B.V. All rights reserved.