ECONOMIC BURDEN OF OBESITY IN HUNGARY.

IF 2.9 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Emese Antal, Péter Torzsa, Imre Rurik
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引用次数: 0

Abstract

Background: Obesity is a significant threat to national and global public health in terms of its prevalence and economic burden due to obesity-related complications (ORCs) and morbidities. The aim of this study is to calculate obesity-related public expenditures in Hungary in order to estimate the expenses and contribution of patients in 2019 and in 2022, before and after the COVID-19 pandemic, respectively.

Method: Expenditures related to patients with obesity, who suffered from more frequent co-morbidities, were requested from the national database of the National Health Insurance Fund. Financial information related to the inpatient and the outpatient providers and reimbursement for the prescription of medicines and healing aids was collected.

Results: Obesity-related morbidities represent 10-12 % of all cases in the public health care system. National public health care expenses were reported to be close to HUF 144 billion (EUR 444 million) for 2019 and HUF 133 billion (EUR 393 million) for 2022. These sums represent 7-11% of the total national spending for health care provision, not accounting for sick leave expenditures. The co-payment of patients was estimated to be around HUF 34 billion (EUR 104 million) for 2019 and HUF 43 billion (EUR 109 million) for 2022. Public expenditures and co-payments related to Type 2 diabetes and hypertension were the highest. Public and individual expenditures represent 0.3-0.4% of the GDP, which is equivalent to EUR 56 and EUR 52 per capita, respectively, for all inhabitants of the country.

Conclusion: Reducing these high expenses is possible through the introduction of appropriate education and public health policies to prevent obesity at an individual level and enable weight reduction among persons living with obesity. To calculate the cost of obesity, an international consensus on standardized methods is required to improve homogeneity and comparability.

匈牙利肥胖的经济负担。
背景:就肥胖相关并发症(ORCs)和发病率的患病率和经济负担而言,肥胖是对国家和全球公共卫生的重大威胁。本研究的目的是计算匈牙利与肥胖相关的公共支出,以估计2019年和2022年患者在2019冠状病毒病大流行之前和之后的费用和贡献。方法:从国民健康保险基金的国家数据库中查询与肥胖患者相关的支出,这些患者患有更频繁的合并症。收集了与住院和门诊提供者有关的财务信息以及药物处方和治疗辅助工具的报销。结果:在公共卫生保健系统中,肥胖相关的发病率占所有病例的10- 12%。据报道,2019年全国公共医疗费用接近1440亿福郎(4.44亿欧元),2022年接近1330亿福郎(3.93亿欧元)。这些金额占全国医疗保健总支出的7-11%,不包括病假支出。据估计,2019年患者共付额约为340亿福郎(1.04亿欧元),2022年约为430亿福郎(1.09亿欧元)。与2型糖尿病和高血压相关的公共支出和自付额最高。公共和个人支出占国内生产总值的0.3-0.4%,相当于全国所有居民人均支出分别为56欧元和52欧元。结论:通过引入适当的教育和公共卫生政策,在个人层面预防肥胖,并使肥胖患者减肥,可以减少这些高昂的费用。为了计算肥胖的成本,需要在标准化方法上达成国际共识,以提高同质性和可比性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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