2023年加拿大炎症性肠病的影响:间接(个人和社会)和直接自付费用

M Ellen Kuenzig, James H B Im, Stephanie Coward, Joseph W Windsor, Gilaad G Kaplan, Sanjay K Murthy, Eric I Benchimol, Charles N Bernstein, Alain Bitton, Jennifer L Jones, Kate Lee, Juan-Nicolás Peña-Sánchez, Noelle Rohatinsky, Sara Ghandeharian, Tyrel Jones May, Sahar Tabatabavakili, Rohit Jogendran, Jake Weinstein, Rabia Khan, Elias Hazan, Mira Browne, Tal Davis, Quinn Goddard, Julia Gorospe, Kate Latos, Kate Mason, Jack Kerr, Naji Balche, Anna Sklar, Laura E Targownik
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引用次数: 0

摘要

患有炎症性肠病(IBD)的患者及其护理人员面临着他们原本不会经历的间接和自付费用。这些成本会影响一个人为经济做出贡献的能力,使其发挥最大的潜力。据估计,到2023年,加拿大IBD的间接成本至少为15.1亿美元,其中包括因错过工作(旷工)、工作场所生产力下降(出勤)、失业、过早死亡和护理成本等导致的生产力损失。失业是间接成本的最大贡献者(11.4亿美元),其次是旷工和出勤成本(2.85亿美元)。据估计,IBD患儿的护理费用接近5800万美元。患有炎症性肠病的加拿大人每年还要支付5.36亿美元,用于普遍或补充私人健康保险不包括的护理;这包括联合医疗保健(例如,由心理学家提供的护理)、药物治疗和其他支持性治疗。据估计,到2023年,加拿大IBD的间接和自付费用加起来将超过20亿加元。这大大高于加拿大克罗恩病和结肠炎2018年IBD影响报告中估计的12.9亿美元,其差异归因于患病率上升、通货膨胀以及出诊和护理成本增加到总间接成本的综合因素。
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The 2023 Impact of Inflammatory Bowel Disease in Canada: Indirect (Individual and Societal) and Direct Out-of-Pocket Costs.

People living with inflammatory bowel disease (IBD) and their caregivers are faced with indirect and out-of-pocket costs that they would not otherwise experience. These costs impact one's ability to contribute to the economy to their fullest potential. The indirect costs of IBD in Canada are estimated to be at least $1.51 billion in 2023 and include costs associated with lost productivity resulting from a combination of missed work (absenteeism), decreased workplace productivity (presenteeism), unemployment, premature mortality, and caregiving costs. Unemployment is the largest contributor to indirect costs ($1.14 billion), followed by costs of absenteeism and presenteeism ($285 million). Caregiving costs for children with IBD are estimated to be nearly $58 million. Canadians with IBD also pay $536 million every year for care that is not covered by universal or supplemental private health insurance; this includes allied healthcare (e.g., care provided by psychologists), medication, and other supportive therapy. Combined, the indirect and out-of-pocket costs of IBD in Canada are estimated at more than $2 billion CAD in 2023. This is substantially higher than the estimate of $1.29 billion in Crohn's and Colitis Canada's 2018 Impact of IBD report with differences attributable to a combination of rising prevalence, inflation, and the addition of presenteeism and caregiving costs to the total indirect costs.

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审稿时长
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