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Healthcare utilisation and expenditure of overweight and non-overweight children
BACKGROUND: Quantification of the burden of overweight on the healthcare system is becoming increasingly urgent for health policy, but accurate estimates are hard to obtain. METHODS: In order to assess healthcare utilisation and expenditure of overweight and non-overweight children, we linked, on an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161654/ https://www.ncbi.nlm.nih.gov/pubmed/29891636 http://dx.doi.org/10.1136/jech-2017-210222 |
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author | Wijga, Alet H Mohnen, Sigrid M Vonk, Judith M Uiters, Ellen |
author_facet | Wijga, Alet H Mohnen, Sigrid M Vonk, Judith M Uiters, Ellen |
author_sort | Wijga, Alet H |
collection | PubMed |
description | BACKGROUND: Quantification of the burden of overweight on the healthcare system is becoming increasingly urgent for health policy, but accurate estimates are hard to obtain. METHODS: In order to assess healthcare utilisation and expenditure of overweight and non-overweight children, we linked, on an individual basis, data on body mass index from a birth cohort study with administrative health insurance claims data. In children aged 14–15 years, we compared utilisation and expenditure on general practice care, dental care, hospital/specialist care, prescribed medication, allied healthcare and mental healthcare of overweight children (overweight at age 11 and 14, n=80) and non-overweight children (no overweight at age 11 and 14, n=1253). RESULTS: For overweight children, mean 1-year healthcare expenditure was €837 per child and for non-overweight children €616. This difference was mainly due to significant differences in utilisation of hospital care (49% vs 37%) and mental healthcare (14% vs 7%) and to a lesser extent to higher expenditure per user. CONCLUSION: Our results indicate the potential value of linking survey data to claims data in order to obtain insight into the healthcare costs of childhood overweight. Further studies should elucidate whether the observed differences are causally related to overweight. |
format | Online Article Text |
id | pubmed-6161654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-61616542018-10-01 Healthcare utilisation and expenditure of overweight and non-overweight children Wijga, Alet H Mohnen, Sigrid M Vonk, Judith M Uiters, Ellen J Epidemiol Community Health Short Report BACKGROUND: Quantification of the burden of overweight on the healthcare system is becoming increasingly urgent for health policy, but accurate estimates are hard to obtain. METHODS: In order to assess healthcare utilisation and expenditure of overweight and non-overweight children, we linked, on an individual basis, data on body mass index from a birth cohort study with administrative health insurance claims data. In children aged 14–15 years, we compared utilisation and expenditure on general practice care, dental care, hospital/specialist care, prescribed medication, allied healthcare and mental healthcare of overweight children (overweight at age 11 and 14, n=80) and non-overweight children (no overweight at age 11 and 14, n=1253). RESULTS: For overweight children, mean 1-year healthcare expenditure was €837 per child and for non-overweight children €616. This difference was mainly due to significant differences in utilisation of hospital care (49% vs 37%) and mental healthcare (14% vs 7%) and to a lesser extent to higher expenditure per user. CONCLUSION: Our results indicate the potential value of linking survey data to claims data in order to obtain insight into the healthcare costs of childhood overweight. Further studies should elucidate whether the observed differences are causally related to overweight. BMJ Publishing Group 2018-10 2018-06-11 /pmc/articles/PMC6161654/ /pubmed/29891636 http://dx.doi.org/10.1136/jech-2017-210222 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Short Report Wijga, Alet H Mohnen, Sigrid M Vonk, Judith M Uiters, Ellen Healthcare utilisation and expenditure of overweight and non-overweight children |
title | Healthcare utilisation and expenditure of overweight and non-overweight children |
title_full | Healthcare utilisation and expenditure of overweight and non-overweight children |
title_fullStr | Healthcare utilisation and expenditure of overweight and non-overweight children |
title_full_unstemmed | Healthcare utilisation and expenditure of overweight and non-overweight children |
title_short | Healthcare utilisation and expenditure of overweight and non-overweight children |
title_sort | healthcare utilisation and expenditure of overweight and non-overweight children |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161654/ https://www.ncbi.nlm.nih.gov/pubmed/29891636 http://dx.doi.org/10.1136/jech-2017-210222 |
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