Impact of population ageing on the costs of hospitalisations for cardiovascular disease: a population-based data linkage study

详细信息    查看全文

• 作者：Ninh Thi Ha (1)
  Delia Hendrie (2)
  Rachael Moorin (3)
  
  1. Department of Community Health ; Institute of Public Health at Ho Chi Minh City ; 159 Hung Phu street ; District 8 ; Ho Chi Minh City ; Vietnam
  2. School of Public Health ; Curtin University ; Bentley ; Perth ; Western Australia
  3. Faculty of Health Science ; Curtin University ; Bentley ; Perth ; Western Australia
  
• 关键词：Cardiovascular disease ; Health expenditures ; Population ageing ; Data linkage
• 刊名：BMC Health Services Research
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：682 KB
• 参考文献：1. Breyer, F, Costa-Font, J, Felder, S (2010) Ageing, health, and health care. Oxf Rev Econ Policy 26: pp. 674-690 CrossRef
  Economic Implications of an Ageing Australia, Research Report. The Productivity Commission, Canberra
  2. Population by age and sex, Austrlian States and Territories, June 2010 [http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/3201.0Main+Features1Jun2010?OpenDocument]
  3. How much do we spend on health? [http://www.aihw.gov.au/australias-health/2012/spending-on-health/]
  4. Health costs and policy in an Ageing Australia [http://www.pc.gov.au/__data/assets/pdf_file/0011/81758/cs20080701-agedhealthpolicy.pdf]
  5. Banham D, Woollacott T, Lynch J: Healthy life gains in South Australia 1999鈥?008: analysis of a local Burden of Disease series. / Popul Health Metrics 2011, 9:13.
  6. Lynch, C, Holman, CD, Moorin, RE (2007) Use of Western Australian linked hospital morbidity and mortality data to explore theories of compression, expansion and dynamic equilibrium. Aust Health Rev: Publ Aust Hosp Assoc 31: pp. 571-581 CrossRef
  7. Schofield, DJ, Earnest, A (2006) Demographic change and the future demand for public hospital care in Australia, 2005 to 2050. Aust Health Rev 30: pp. 507-515 CrossRef
  8. Dormont, B, Grignon, M, Huber, H (2006) Health expenditure growth: reassessing the threat of ageing. Health Econ 15: pp. 947-963 CrossRef
  9. Gray A: Population ageing and health care expenditure. / Oxford Inst Ageing 2005, (Ageing Horizons Issues No. 2):15鈥?0.
  10. Kildemoes, HW, Christiansen, T, Gyrd-Hansen, D, Kristiansen, IS, Andersen, M (2006) The impact of population ageing on future Danish drug expenditure. Health Policy 75: pp. 298-311 CrossRef
  11. Cooper C, Hagan P: The ageing Australian population and future health costs: 1996鈥?051. / Depart Health Aged Care Occas Papers: New Series 1999, (No. 7).
  12. Tchoe, B, Nam, SH (2010) Aging risk and health care expenditure in Korea. Int J Environ Res Publ Health 7: pp. 3235-3254 CrossRef
  13. O鈥機onnell, JM (1996) The relationship between health expenditures and the age structure of the population in OECD countries. Health Econ 5: pp. 573-578 CrossRef
  14. Herwartz, H, Theilen, B (2003) The determinants of health care expenditure: testing pooling restrictions in small samples. Health Econ 12: pp. 113-124 CrossRef
  15. Woodall J, Senes S: Health care expenditure on cardiovascular diseases 2004鈥?5. In Canberra: AIHW; 2008.
  16. AIHW: Cardiovascular disease: Australian facts 2011. In Cardiovascular disease series, Volume CVD 53. Canberra: AIHW; 2011.
  17. Holman, CD, Bass, AJ, Rouse, IL, Hobbs, MST (1999) Population-based linkage of health records in Western Australia: development of a health services research linked database. Aust N Z J Public Health 23: pp. 453-459 CrossRef
  18. In / Data Linkage - Data collections; http://www.datalinkage-wa.org/data-linkage/data-collections.
  19. National hospital morbidity database [http://www.aihw.gov.au/hospitals-data/national-hospital-morbidity-database/]
  20. Nedkoff, L, Briffa, TG, Preen, DB, Sanfilippo, FM, Hung, J, Ridout, SC, Knuiman, M, Hobbs, M (2011) Age- and sex-specific trends in the incidence of hospitalized acute coronary syndromes in Western Australia. Circ Cardiovasc Qual Outcome 4: pp. 557-564 CrossRef
  21. Commonwealth Department of Health and Ageing: / National Hospital Cost Data Collection Hospital Reference Manual: Western Australia. Canberra: Commonwealth Department of Health and Ageing.
  22. Consumer Price Index, Australia, Mar 2013 (6401.0) [http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/6401.0Main+Features1Mar%202013]
  Health expenditure Australia 2010鈥?1. Health and welfare expenditure series no 47. AIHW, Canberra, pp. 10-15
  23. Australian Demographic Statistics (No.3101.0) [http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/3101.0Dec2012?OpenDocument]
  24. Gandjour, A, Greb, J, Bomsdorf, E, Wilhelm Lauterbach, K (2005) Impact of demographic changes on healthcare expenditures and funding in the EU. Appl Health Econ Health Pol 4: pp. 1-4 CrossRef
  25. Mendelson, DN, Schwartz, WB (1993) The effects of aging and population growth on health care costs. Health Aff 12: pp. 119-125 CrossRef
  26. Yamamoto, DH (2013) Health Care Costs鈥擣rom Birth to Death. Health Care Cost Institute鈥檚 Independent Report Series 鈥?Report 2013鈥?. pp. i-iii
  27. Karavidas, A, Lazaros, G, Tsiachris, D, Pyrgakis, V (2010) Aging and the Cardiovascular System. Hellenic J Cardiol 51: pp. 421-427
  28. Dao-Fu D, Chen T, Johnson SC, Szeto H, Rabinovitch PC: Cardiac aging: from molecular mechanisms to significance in human health and disease.(Report). / Antioxid Redox Signal 2012, 16(12):1492.
  29. Martini, EM, Garrett, N, Lindquist, T, Isham, GJ (2007) The boomers are coming: a total cost of care model of the impact of population aging on health care costs in the United States by Major Practice Category. Health Serv Res 42: pp. 201-218 CrossRef
  30. Alemayehu, B, Warner, KE (2004) The lifetime distribution of health care costs. Health Serv Res 39: pp. 627-642 CrossRef
  31. Carreras M, Ibern P, Coderch J, Sanchez I, Inoriza JM: Estimating lifetime healthcare costs with morbidity data. / BMC Health Serv Res 2013, 13:440.
  32. Kuwabara, K, Matsuda, S, Imanaka, Y, Fushimi, K, Hashimoto, H, Ishikawa, K (2008) The effect of age and procedure on resource use for patients with cerebrovascular disease. J Health Serv Res Pol 13: pp. 26-32 CrossRef
  33. Najafi, F, Dobson, AJ, Jamrozik, K (2006) Is mortality from heart failure increasing in Australia? An analysis of official data on mortality for 1997鈥?003. Bull World Health Organ 84: pp. 722-728 CrossRef
  
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background Cardiovascular disease (CVD) is the most costly disease in Australia. Measuring the impact of ageing on its costs is needed for planning future healthcare budget. The aim of this study was to measure the impact of changes in population age structure in Western Australia (WA) on the costs of hospitalisation for CVD. Methods All hospitalisation records for CVD occurring in WA in 1993/94 and 2003/04 inclusive were extracted from the WA Hospital Morbidity Data System (HMDS) via the WA Data Linkage System. Inflation adjusted hospitalisation costs using 2012 as the base year was assigned to all episodes of care using Australian Refined Diagnosis Related Group (AR-DRG) costing information. The component decomposition method was used to measure the contribution of ageing and other factors to the increase of hospitalisation costs for CVD. Results Between 1993/94 and 2003/04, population ageing contributed 23% and 30% respectively of the increase in CVD hospitalisation costs for men and women. The impact of ageing on hospitalisation costs was far greater for chronic conditions than acute coronary syndrome (ACS) and stroke. Conclusions Given the impact of ageing on hospitalisation costs, and the disparity between chronic and acute conditions, disease-specific factors should be considered in planning for future healthcare expenditure.