Impact of smoking on respiratory illness-related outpatient visits among 50- to 75-year-olds in the United States

Clinical Therapeutics
Lynn H HoffmanSusan L Hogue

Abstract

Although it is generally agreed that tobacco use poses an enormous public health problem, payment and reimbursement for smoking-cessation interventions by financially stretched national health systems remain controversial. The purpose of this study was to estimate the number and cost of excess respiratory illness-related visits attributable to smoking among older adults in the United States. The 1995 and 1996 National Ambulatory Medical Care Survey databases were analyzed to estimate attributable risk in the population by age, sex, and smoking status among adults 50 to 75 years of age. Cost estimates for ambulatory physician visits were based on data from a major New England insurer using combined 1995 and 1996 information. Cost estimates were then developed for patients who had a respiratory-illness related diagnosis. Smoking was responsible for 5.1% (1,358,565) and 5.7% (1,452,761) of respiratory illness-related physician visits in 1995 and 1996, respectively. The costs (in 1998 dollars) of physician visits attributable to smoking were $69,205,301 and $74,003,645 in 1995 and 1996, respectively. Smoking increases health services utilization related to respiratory illness, thereby substantially increasing health care costs. Smo...Continue Reading

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Citations

Jul 2, 2011·The Journal of Antimicrobial Chemotherapy·Hege Salvesen BlixAage Tverdal
Jan 7, 2014·Archivos de bronconeumología·Jordi AlmirallSalvador Bello
Jun 15, 2014·BMJ Open·Jordi AlmirallUNKNOWN Study Group of Community-Acquired Pneumonia in Catalan Countries (PACAP)
Mar 21, 2009·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Natalie Sachs-EricssonDan G Blazer

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