Economic Cost of Visual Impairment in Japan
Economic Cost of Visual Impairment in Japan
复制标题
DOI：
10.1001/archophthalmol.2010.86
复制
发表时间：
2010-06-01
影响因子：
--
通讯作者：
Taylor, Hugh R.
中科院分区：
文献类型：
--
作者：
Roberts, Chris B.;Hiratsuka, Yoshimune;Taylor, Hugh R.
目的：量化日本视力损害的总经济成本。方法：采用基于患病率的方法，利用2007年视力障碍、国家卫生系统和间接成本的数据来捕捉视力障碍的经济影响。结果：2007年，日本有超过164万人受到视力障碍的影响，整个经济损失约为87854亿日元（约合728亿美元），相当于日本国内生产总值的1.7%。福祉损失（因残疾和过早死亡而损失的生命年数）耗资58636亿美元（486亿美元）。直接卫生系统费用（原文如此）为13382亿欧元（111亿美元）。其他财务成本为15835亿欧元（131亿美元），包括生产力损失、护理人员成本以及福利支付和税收造成的效率损失。社区护理是其他财务成本中最大的组成部分，由为视力障碍人士提供家庭和个人护理的有偿和无偿服务组成。这项研究的结果与澳大利亚和美国的类似研究结果一致。结论：视力障碍给社会带来了巨大的成本，尤其是对视力障碍患者及其家庭。通过公众对预防保健的认识、早期诊断、更密集的疾病治疗和新的医疗技术，消除或减轻视力障碍造成的残疾，可大大改善视力障碍患者及其家庭的生活质量，同时也有可能减少日本的国家保健支出并提高生产率。这项研究的结果应该为帮助决策者评估政策效果和确定研究支出的优先次序提供第一步。
Objective: To quantify the total economic cost of visual impairment in Japan.Methods: A prevalence-based approach was adopted using data on visual impairment, the national health system, and indirect costs to capture the economic impact of visual impairment in 2007.Results: In 2007, visual impairment affected more than 1.64 million people in Japan and cost around (sic)8785.4 billion (US $72.8 billion) across the economy, equivalent to 1.7% of Japan's gross domestic product. The loss of well-being (years of life lost from disability and premature mortality) cost (sic)5863.6 billion (US $48.6 billion). Direct health system costs were (sic)1338.2 billion (US $11.1 billion). Other financial costs were (sic)1583.5 billion (US $13.1 billion), including productivity losses, care takers' costs, and efficiency losses from welfare payments and taxes. Community care was the largest component of other financial costs and was composed of paid and unpaid services that provide home and personal care to people with visual impairment. The findings of this study are in line with those of similar studies in Australia and the United States.Conclusions: Visual impairment imposes substantial costs on society, particularly to individuals with visual impairment and their families. Eliminating or reducing disabilities from visual impairment through public awareness of preventive care, early diagnosis, more intensive disease treatment, and new medical technologies could significantly improve the quality of life for people with visual impairment and their families, while also potentially reducing national health care expenditure and increasing productivity in Japan. The results of this study should provide a first step in helping policymakers evaluate policy effects and to prioritize research expenditures.