肥胖治療的成本與成本效果：簡易文獻回顧

The Cost and Cost-effectiveness of Obesity Treatment: Mini Literature Review

祝年豐(Nain-Feng Chu)

《健康促進研究與實務》 1卷1期 (2018/07) Pp. 1-8

https://doi.org/10.29442/HPRP.201807_1(1).0001

摘要

近二十年來，台灣地區過重及肥胖盛行率明顯增加，成為重要公共衛生及醫療保健重要問題。肥胖及相關共病症的醫療經濟負擔，也成為公共衛生及醫療經濟學上常面臨討論問題。肥胖的成本可分為直接成本及間接成本。直接成本又可分為肥胖本身的醫療成本及肥胖相關共病症的醫療成本；間接成本是肥胖症所造成的經濟或生產損失。肥胖相關共病症的直接成本，以肥胖為該類疾病危險貢獻百分比有不同，其中以糖尿病、高血壓及冠心症等危險貢獻百分比較大，因此醫療支出佔比亦較高。因此，於現有健康照護制度中擬定防治計畫或給付照護內容，以訂定出適合本土的防治措施與作為，方可解決肥胖對整體公共衛生及醫療保健的衝擊，此為台灣地區衛生保健的當務之急。

關鍵字

肥胖 ； 疾病成本 ； 成本效果

並列摘要

In recent twenty years, the prevalence of overweight and obesity has increased significantly, which has become one of the important issues of public health and health care in Taiwan. The cost of obesity and its related comorbidities has become a major issue in medical and economic burden. The costs of obesity include direct and indirect costs. The direct cost can be divided as the medical costs of obesity itself and associated with obesity-related comorbidities. The indirect cost of obesity is a more complex issue which are economic or production losses, According to the different economic development in different countries, the costs vary widely from the direct costs to the more important ones. Some studies have shown that the direct cost of obesity and its related comorbidities depends on how much the risk of these diseases that attributes to obesity. For example, type 2 diabetes, hypertension, and coronary heart disease, are diseases more likely associated with obesity which contributes more medical cost from these disease. It is good to develop payment-based prevention and treatment programs on the existing health care system and to clearly evaluate the cost of obesity control programs and also assess the cost-effectiveness for these prevention and treatment programs for solving the critical issue of obesity on the overall public health and health care in Taiwan.

並列關鍵字

Obesity ； Cost of illness ； Cost-effect