The impact of obesity on rising medical spending

The impact of obesity on rising medical spending
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DOI:
10.1377/hlthaff.w4.480
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发表时间:
2004-11-01
期刊:
影响因子:
9.7
通讯作者:
Joshi, P
Joshi, P
中科院分区:
医学1区
文献类型:
--
作者:
Thorpe, KE;Florence, CS;Joshi, P

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肥胖者在特定时间点会产生更高的医疗保健成本,但肥胖率的上升如何影响支出增长尚不清楚。我们估计,1987年至2001年期间,肥胖导致的医疗保健支出增加。1987年至2001年,经通胀调整后的人均支出增长中,肥胖人群相对于正常体重人群的比例和支出增加占27%;糖尿病支出占38%;高脂血症支出占22%;心脏病支出占41%。仅肥胖患病率的增加就占医疗支出增长的12%。
Obese people incur higher health care costs at a given point in time, but how rising obesity rates affect spending growth over time is unknown. We estimate obesity-attributable health care spending increases between 1987 and 2001. Increases in the proportion of and spending on obese people relative to people of normal weight account for 27 percent of the rise in inflation-adjusted per capita spending between 1987 and 2001; spending for diabetes, 38 percent; spending for hyperlipidemia, 22 percent; and spending for heart disease, 41 percent. Increases in obesity prevalence alone account for 12 percent of the growth in health spending.