數字會說話:慢性病的成本 USA

Costs of Chronic Disease

CDC, USA

The United States cannot effectively address escalating health care costs without addressing the problem of chronic diseases:

• In 2005, 133 million people, almost half of all Americans lived with at least one chronic condition.
• Chronic diseases account for 70% of all deaths in the United States.
• The medical care costs of people with chronic diseases account for more than 75% of the nation’s $2 trillion medical care costs.
• Chronic diseases account for one-third of the years of potential life lost before age 65.
• Hospitalizations for pregnancy-related complications occurring before delivery account for more than $1 billion annually.
• The direct and indirect costs of diabetes is $174 billion a year.
• Each year, arthritis results in estimated medical care costs of nearly $81 billion, and estimated total costs (medical care and lost productivity) of $128 billion.
• The estimated direct and indirect costs associated with smoking exceed $193 billion annually.
• In 2008, the cost of heart disease and stroke in the U.S. is projected to be $448 billion.
• The estimated total costs of obesity was nearly $117 billion in 2000.
• Cancer costs the nation an estimated $89 billion annually in direct medical costs.
• Nearly $98.6 billion is spent on dental services each year.

Leading Causes of Death
United States, 2005
Number of deaths

Diseases of the heart: 652,000
Cancer: 559,000
Stroke: 144,000
Chronic respiratory disease: 131,000
Unintentional injuries: 118,000
Diabetes mellitus: 75,000
Alzheimer's disease: 72,000
Influenza and pneumonia: 63,000
Inflammatory kidney disease: 44,000
Blood poisoning: 34,000

More Information

Centers for Disease Control and Prevention
Chronic Disease Prevention and Health Promotion:
Chronic Disease Overview
http://www.cdc.gov/nccdphp/overview.htm

Agency for Healthcare Research and Quality
The National Hospital Bill: Growth Trends and 2005 Update on the Most Expensive Conditions by Payer
http://www.hcup-us.ahrq.gov/reports/statbriefs/sb42.jsp

Agency for Healthcare Research and Quality
Patient Self-Management Support Programs: An Evaluation
Contract No. 282-00-0005
http://www.ahrq.gov/qual/ptmgmt/

The Commonwealth Fund
What Works in Chronic Care Management: The Case of Heart Failure
http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=773545&#doc773545