The economic costs of disease related malnutrition

被引:146
作者
Freijer, Karen [1 ]
Tan, Siok Swan [2 ]
Koopmanschap, Marc A. [2 ]
Meijers, Judith M. M. [3 ]
Halfens, Ruud J. G. [3 ]
Nuijten, Mark J. C. [4 ]
机构
[1] CAPHRI Maastricht Univ, NL-2700 AK Zoetermeer, Netherlands
[2] Erasmus Univ, Inst Hlth Policy & Management iBMG, Inst Med Technol Assessment iMTA, NL-3000 DR Rotterdam, Netherlands
[3] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Hlth Serv Res Sch Publ Hlth & Primary Care C, NL-6200 MD Maastricht, Netherlands
[4] Ars Accessus Med, NL-1546 LG Amsterdam, Netherlands
关键词
Disease-related malnutrition; Health economic costs; Costs of malnutrition; IMPACT;
D O I
10.1016/j.clnu.2012.06.009
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background & aims: Disease related malnutrition (under-nutrition caused by illness) is a worldwide problem in all health care settings with potentially serious consequences on a physical as well as a psycho-social level. In the European Union countries about 20 million patients are affected by disease related malnutrition, costing EU governments up to (sic) 120 billion annually. The aim of this study is to calculate the total additional costs of disease related malnutrition in The Netherlands. Methods: A cost-of-illness analysis was used to calculate the additional total costs of disease related malnutrition in adults (>18 years of age) for The Netherlands in 2011 in the hospital, nursing- and residential home and home care setting, expressed as an absolute monetary value as well as a percentage of the total Dutch national health expenditure and as a percentage of the total costs of the studied health care sectors in The Netherlands. Results: The total additional costs of managing adult patients with disease related malnutrition were estimated to be (sic) 1.9 billion in 2011 which equals 2.1% of the total Dutch national health expenditure and 4.9% of the total costs of the health care sectors analyzed in this study. Conclusions: The results of this study show that the additional costs of disease related malnutrition in adults in The Netherlands are considerable. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码:136 / 141
页数:6
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