The economic burden of major adult visual disorders in the United States
The economic burden of major adult visual disorders in the United States
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DOI：
10.1001/archopht.124.12.1754
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发表时间：
2006-12-01
影响因子：
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通讯作者：
Saaddine, Jinan
中科院分区：
文献类型：
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作者：
Rein, David B.;Zhang, Ping;Saaddine, Jinan
目的：估计社会经济负担和政府预算的影响，以下视力障碍的美国成年人年龄在40岁及以上：视力损害，失明，屈光不正，年龄相关性黄斑变性，白内障，糖尿病视网膜病变，原发性开角型glaucoma.Design：我们估计3个组成部分的经济负担：直接医疗费用，其他直接费用，和生产力损失。我们使用私人保险和医疗保险索赔数据来估计直接医疗成本;来自多个已发表来源的流行病学证据来估计其他直接成本，如养老院成本;以及来自收入和计划参与调查的数据来估计生产力损失。我们使用预算文件和我们的直接医疗和其他直接成本估计来估算政府预算影响。结果：我们估计每年主要成人视觉障碍的总经济负担为354亿美元（162亿美元的直接医疗费用，111亿美元的其他直接费用，和80亿美元的生产力损失），每年的政府预算影响为137亿美元。结论：40岁以上的美国人中的主要视觉障碍导致美国经济的巨大经济成本。精心设计的公共卫生项目可能有能力在未来减轻这一负担。
Objective: To estimate the societal economic burden and the governmental budgetary impact of the following visual disorders among US adults aged 40 years and older: visual impairment, blindness, refractive error, age-related macular degeneration, cataracts, diabetic retinopathy, and primary open-angle glaucoma.Design: We estimated 3 components of economic burden: direct medical costs, other direct costs, and productivity losses. We used private insurance and Medicare claims data to estimate direct medical costs; epidemiologic evidence from multiple published sources to estimate other direct costs, such as nursing home costs; and data from the Survey of Income and Program Participation to estimate productivity losses. We used budgetary documents and our direct medical and other direct cost estimates to approximate the governmental budgetary impact.Results: We estimated that the annual total financial burden of major adult visual disorders is $35.4 billion ($16.2 billion in direct medical costs, $11.1 billion in other direct costs, and $8 billion in productivity losses) and that the annual governmental budgetary impact is $13.7 billion.Conclusions: Major visual disorders among Americans older than 40 years result in substantial economic costs for the US economy. Well-designed public health programs may have the ability to reduce this burden in the future.