Obesity and the use of health care services
Obesity and the use of health care services
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DOI：
10.1038/oby.2005.49
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发表时间：
2005-02-01
期刊：
影响因子：
--
通讯作者：
Azari, R
中科院分区：
文献类型：
--
作者：
Bertakis, KD;Azari, R
目的：本研究调查了肥胖和非肥胖患者在使用医疗保健服务和相关费用方面的差异。研究方法和程序：新成年患者 (N = 509) 被随机分配到大学医疗中心的初级保健物理科。他们的医疗服务使用情况和相关费用受到为期一年的监测。收集的数据包括社会人口统计学、使用医疗结果研究简表 36 自我报告的健康状况、使用贝克抑郁指数评估抑郁症，以及测量身高和体重以计算 BMI。 结果：肥胖患者中女性比例明显更高，平均年龄较高，平均教育程度较低，平均健康状况较低，平均贝克抑郁指数得分较高。肥胖患者到初级保健诊所 (p = 0.0005) 和专科护理诊所 (p = 0.0006) 就诊的平均次数明显更高。诊断服务的平均数量更高 (p < 0.0001)。肥胖患者的初级保健（p = 0.0058）、专科诊所（p = 0.0062）、急诊科（p = 0.0484）、住院（p = 0.0485）、诊断服务（p = 0.0021）和总费用（p = 0.0033）的费用也显着较高。控制健康状况、抑郁、年龄、教育、收入和性别后，肥胖与初级保健 (p = 0.0364) 和诊断服务 (0.0075) 的使用显着相关。肥胖与五类医疗支出或总费用之间没有统计学上的显着关系。讨论：肥胖是一种慢性疾病，需要长期管理，重点是预防。如果这一重要的健康问题得不到适当解决，肥胖和肥胖相关疾病的患病率将继续上升，导致医疗保健服务的使用不断增加。
Objective: This study investigated differences in the use of health care services and associated costs between obese and nonobese patients.Research Methods and Procedures: New adult patients (N = 509) were randomly assigned to primary care phys, at a university medical center. Their use of medical services and related charges was monitored for 1 year. Data collected included sociodemographics, self-reported health status using the Medical Outcomes Study Short Form-36, evaluation for depression using the Beck Depression Index, and measured height and weight to calculate BMI.Results: Obese patients included a significantly higher percentage of women and had higher mean age, lower mean education, lower mean health status, and higher mean Beck Depression Index scores. Obese patients had a significantly higher mean number of visits to both primary care (p 0.0005) and specialty care clinics (p = 0.0006). and a higher mean number of diagnostic services (p < 0.0001). Obese patients also had significantly higher primary care (p 0.0058), specialty clinic (p = 0.0062), emergency department (p = 0.0484), hospitalization (p = 0.0485), diagnostic services (p = 0.0021), and total charges (p = 0.0033). Controlling for health status, depression, age, education, income, and sex, obesity was significantly related to the use of primary care (p = 0.0364) and diagnostic services 0.0075). There was no statistically significant relationship between obesity and medical expenditures in any of the five categories or for total charges.Discussion: Obesity is a chronic condition requiring longterm management, with an emphasis on prevention. If this critical health issue is not appropriately addressed, the prevalence of obesity and obesity-related diseases will continue to grow, resulting, in escalating, use of health care services.