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연구정보

[경제] The Economic Impact of Obesity in Turkey: A Micro-Costing Analysis

튀르키예 국외연구자료 연구보고서 - ClinicoEconomics and Outcomes Research 발간일 : 2024-03-14 등록일 : 2024-03-14 원문링크

Background: Turkey currently has the highest obesity prevalence among its European counterparts. 32% and 61% of the population
live with obesity and overweight, respectively. Overweight and obesity are linked to non-communicable diseases that incur incremental health and economic costs. The significant public health concern warrants an assessment of the cost of obesity.

Methods: A micro-costing approach from the public payer perspective was conducted to estimate direct healthcare costs associated
with ten obesity-related comorbidities (ORCs) in Turkey. Clinical practice guidelines and a systematic literature review informed
ORCs and the respective cost categories. This was subsequently validated by a steering committee comprising seven experts. Seventy
public sector physicians were surveyed to estimate healthcare resource use. Unit costs were derived from Social Security Institute’s
Healthcare Implementation Communique. Cost items were summed to determine the annual cost per patient per ORC, which was
validated by the steering committee. Medical inflation was considered in a scenario analysis that varied resource unit costs.

Results: Chronic kidney disease, heart failure and type 2 diabetes are the costliest ORCs, incurring an annual cost of 28,600 TRY,
16,639 TRY and 11,993 TRY, respectively. Individuals in Turkey with any ORC triggered direct healthcare costs ranging 1857–28,600
TRY annually. Costs were driven by tertiary care resources arising from treatment-related adverse events, disease complications and
inpatient procedures. In the scenario analysis, medical resource unit costs were inflated by 18.7% and 39.4%, triggering an average
increase in cost across all ORCs of 1998 TRY and 4210 TRY, respectively.

Conclusion: Our findings confirm that obesity and its complications result in significant financial burden to the public healthcare
system. By quantifying the burden of obesity across a comprehensive spectrum of ORCs, our study aims to support the economic case
for investing in appropriate obesity interventions.

Keywords: obesity, micro-costing, cost of illness, burden of illness, healthcare resource utilization

본 페이지에 등재된 자료는 운영기관(KIEP)EMERiCs의 공식적인 입장을 대변하고 있지 않습니다.

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