Costs and epidemiological changes of chronic diseases: implications and challenges for health systems

PloS One
Armando Arredondo, Raul Aviles

Abstract

The need to integrate economic and epidemiological aspects in the clinical perspective leads to a proposal for the analysis of health disparities and to an evaluation of the health services and of the new challenges which are now being faced by health system reforms in middle income countries. To identify the epidemiological changes, the demand for health services and economic burden from chronic diseases (diabetes and hypertension) in a middle income county. We conducted longitudinal analyses of costs and epidemiological changes for diabetes and hypertension in the Mexican health system. The study population included both the insured and uninsured populations. The cost-evaluation method was used, based on the instrumentation and consensus techniques. To estimate the epidemiological changes and financial consequences for 2014-2016, six models were constructed according to the Box-Jenkins technique, using confidence intervals of 95%, and the Box-Pierce test. Regarding epidemiological changes expected in both diseases for 2014 vs. 2016, an increase is expected, although results predict a greater increase for diabetes, 8-12% in all three studied institutions, (p < .05). Indeed, in the case of diabetes, the increase was 41469 cases...Continue Reading

References

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Citations

Feb 8, 2018·Cadernos de saúde pública·Armando ArredondoAna Lucía Recaman
May 3, 2018·PloS One·Didier Barradas-BautistaGerminal Cocho
Oct 17, 2017·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Rocco Palumbo
Aug 24, 2018·Maternal & Child Nutrition·Mishel Unar-MunguíaTeresita González de Cosío
Mar 22, 2019·Health Information Management : Journal of the Health Information Management Association of Australia·Dari Alhuwail
Jan 25, 2018·The International Journal of Health Planning and Management·Armando ArredondoAlejandra Azar
Sep 11, 2016·Trials·Chantal F SkiDavid J Castle
Dec 23, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·A Arredondo
Jun 20, 2019·Nutrition Research and Practice·Didace NdahimanaEun-Kyung Kim
Dec 28, 2018·International Journal of Environmental Research and Public Health·Emilio CasariegoFrancisco José Sáez
Dec 29, 2020·The International Journal of Health Planning and Management·Armando ArredondoSilvia Magali Cuadra
Mar 13, 2021·Frontiers in Cardiovascular Medicine·Mireya Martínez-GarcíaEnrique Hernández-Lemus
Apr 4, 2021·International Journal of Environmental Research and Public Health·Chuan De FooGerald Choon Huat Koh

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