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Titolo:
The relationship between modifiable health risks and future medical care expenditures: The Korea Medical Insurance Corporation (KMIC) study
Autore:
Jee, SH; ODonnell, MP; Suh, I; Kim, IS;
Indirizzi:
Yonsei Univ, Grad Sch Hlth Sci & Management, Dept Epidemiol & Dis Control,Seoul 120749, South Korea Yonsei Univ Seoul South Korea 120749 s Control,Seoul 120749, South Korea Amer Journal Hlth Promot, Keego Harbor, MI USA Amer Journal Hlth Promot Keego Harbor MI USA romot, Keego Harbor, MI USA Yonsei Univ, Coll Med, Dept Prevent Med & Publ Hlth, Seoul, South Korea Yonsei Univ Seoul South Korea event Med & Publ Hlth, Seoul, South Korea
Titolo Testata:
AMERICAN JOURNAL OF HEALTH PROMOTION
fascicolo: 4, volume: 15, anno: 2001,
pagine: 244 - 255
SICI:
0890-1171(200103/04)15:4<244:TRBMHR>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
ABSENTEEISM; CLAIMS; COSTS;
Keywords:
health promotion; modifiable risk factors; medical care costs;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: O'Donnell, MP 4840 Arrowhead, W Bloomfield, MI 48323 USA 4840 Arrowhead WBloomfield MI USA 48323 ield, MI 48323 USA
Citazione:
S.H. Jee et al., "The relationship between modifiable health risks and future medical care expenditures: The Korea Medical Insurance Corporation (KMIC) study", AM J H PRO, 15(4), 2001, pp. 244-255

Abstract

Context. The relationship between lifestyle risk factors, morbidity, and mortality is well established, but the relationship between lifestyle risk factory and medical care costs is not ar wed defined. Objectives. To determine the ability of modifiable biometric and lifestylerisk factors to predict future medical care rests. Design, Prospective cohort study. Setting and Participants. Data on modifiable risk factors collected in 1992 and medical care costs collected in 1998 by the Korea Medical Insurance Corporation in South Korea. Data were examined for a final cohort of 78,728 men and 50,414 women enrolled in the health Insurance plan from 1990 through 1998. Main Outcome Measures. Outcome measures included likelihood of any inpatient, outpatient, and total medical care costs and outlier costs; amount of inpatient, outpatient, and total medical care costs: and portion of total medical rests attributable to each risk factor through unadjusted and adjusted multivariate analyses. Results. Baseline modifiable risk factors measured in 1992 (including lifestyle factors such as smoking, high body mass index, exercise, and biometric measures such as cholesterol, blood sugar blood pressure, ard urinary sugar) were important predictors of the amount of medical care costs incurred 6 years later in 1998, even after controlling for age perceived health status, and each of the other modifiable variables. These risk factors were generally better predictors than nonmodifiable demographic risk factors, including income level and type of job. For men, lifestyle risk factors were associated with total costs that were 2.4% (for high blood pressure) to 16.1% (for former smokers) higher than among men without those risk factors. Biometric risk factors were associated with costs ranging from 9.2% (for cholesterol) to 38.2% (for positive urinary glucose) higher. For women, lifestylerisk factors were associated with total costs that were 2.5% (for exercise) to 6.4% (for current smokers) higher than among those without the risk factors. Biometric risk factors were associated with rests ranging from 10.2%(for cholesterol) to 60.4% (for positive urinary glucose) higher. For men.a cluster of six heart disease risk factors were associated with total costs 54.7% higher and a cluster of three stroke risk factors were associated with total costs 22.2% higher than in ma who had none of these risk factors. Modifiable risk factors accounted for 23.1% of medical costs for men and 87% for women. Conclusions. These results suggest that modifiable biometric and lifestylerisk factors can predict a moderate portion of future medical rare costs. If these risk factors can be reduced, future medical care rests may be reduced.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 03:23:16