Calculation of the return on investment in the obesity treatment program

S. V. Nedogoda, A. Salasyuk, I. Barykina, V. Lutova, E. Popova
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Abstract

Aim. calculate the potential return on investment of a treatment program for obese patients. Materials and methods. Calculations were used to determine the levels of clinical outcomes of implementing obesity treatment programs at which the return on investment would be positive. The calculation model was developed on the basis of population data obtained from opsources, results of clinical trials, and average cost indicators for the Russian Federation. Since the data on the long-term effectiveness of obesity treatment programs are limited, the developed model uses a number of assumptions to calculate scenario estimates of the economic feasibility of implementing this scheme in the practical healthcare of the country. Results. The calculations show that the average cost of an annual course of obesity treatment (76.4 thousand rubles) in 2022 is economically justified from the point of view of the possibility of achieving a positive return on investment (positive return on investment can be achieved by the 5th year of follow-up of patients after effective treatment). As the frequency of long-term persistent drug-free remissions increases, the «economically justified» cost of an annual course of treatment may increase. Conclusion. The economic analysis performed has shown the potential of implementing a standardized obesity treatment program in terms of cost-effectiveness, which allows us to conclude that perfecting of a standardized obesity treatment program can be a cost-effective way of treating obesity.
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计算肥胖症治疗计划的投资回报率
目的:计算肥胖患者治疗计划的潜在投资回报。材料和方法。通过计算确定实施肥胖症治疗计划的临床效果水平,在该水平上投资回报率将为正数。计算模型是根据从各种来源获得的人口数据、临床试验结果和俄罗斯联邦的平均成本指标建立的。由于有关肥胖症治疗计划长期有效性的数据有限,因此所开发的模型使用了一系列假设来计算在国家实际医疗保健中实施该计划的经济可行性的方案估算。结果显示计算结果表明,从实现正投资回报的可能性(有效治疗后对患者进行第 5 年随访即可实现正投资回报)的角度来看,2022 年肥胖症治疗年疗程的平均费用(7.64 万卢布)在经济上是合理的。随着长期持续无药缓解的频率增加,每年一个疗程的 "经济合理 "费用可能会增加。结论所做的经济分析表明,实施标准化肥胖症治疗方案在成本效益方面具有潜力,因此我们可以得出结论,完善标准化肥胖症治疗方案是一种具有成本效益的肥胖症治疗方法。
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