The relationship between modifiable health risks and health care expenditures : An analysis of the multi-employer HERO health risk and cost database.
This investigation estimates the impact often modifiable health risk behaviors and measures and their impact on health care expenditures, controlling for other measured risk and demographic factors.
Retrospective two-stage multivariate analyses, including logistic and linear regression models, were used to follow up 46,026 employees from six large health care purchasers for up to 3 years after they completed an initial health risk appraisal.
These participants contributed 113,963 person-years of experience.
Results show that employees at high risk for poor health outcomes had significantly higher expenditures than did subjects at lower risk in seven often risk categories : those who reported themselves as depressed (70% higher expenditures), at high stress (46%), with high blood glucose levels (35%), at extremely high or low body weight (21%), former (20%) and current (14%) tobacco users, with high blood pressure (12%), and with sedentary lifestyle (10%). These same risk facton were found to be associated with a higher likelihood of having extremely high (outlier) expenditures.
Employees with multiple risk profiles for specific disease outcomes had higher expenditures than did those without these profiles for the following diseases : heart disease (228% higher expenditures), psychosocial problems (147%), and stroke (85%). (...)
Mots-clés Pascal : Economie santé, Facteur risque, Base donnée, Analyse coût, Prévention, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Analyse multivariable, Médecine travail, Analyse risque, Homme, Analyse statistique, Comparaison interindividuelle, Morbidité
Mots-clés Pascal anglais : Health economy, Risk factor, Database, Cost analysis, Prevention, Epidemiology, United States, North America, America, Multivariate analysis, Occupational medicine, Risk analysis, Human, Statistical analysis, Interindividual comparison, Morbidity
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0001741
Code Inist : 002B30A01C. Création : 31/05/1999.