摘要
糖尿病产生的成本分为直接成本和间接成本,直接成本指住院、检查和药物费用等直接产生的成本,间接成本指缺勤、工作效率降低和过早死亡造成的生产力损失.如果糖尿病患者血糖控制不佳,产生相关并发症,会增加糖尿病成本,除增加相关治疗费用外,也会对雇主和国家造成经济损失.本文通过系统检索国内外相关文献,对国内外老年糖尿病患者生产力损失的概念、研究现状、评估工具、影响因素、干预措施和对个人、雇主、经济产生的影响进行阐述,建议今后应更加关注糖尿病患者的健康教育和生活方式干预,以提高糖尿病患者自我管理水平,减少糖尿病导致的生产力损失.
Abstract
The costs generated by diabetes are divided into direct costs and indirect costs.Direct costs refer to the costs directly generated by hospitalization,examination and drug costs,and indirect costs refer to the loss of productivity caused by absenteeism,re-duced work efficiency and premature death.If diabetes patients have poor blood glucose control,causing related complications,it will increase the cost of diabetes,in addition to increasing the related treatment costs,but also cause economic losses to employers and the country.In this paper,through a systematic search of relevant literature at home and abroad,we review the concept of productivity loss in elderly diabetic patients at home and abroad,the current status of research,assessment tools,influencing factors,interventions and the impact on individuals,employers and the economics,and suggest that in the future,more attention should be paid to health educa-tion and lifestyle interventions in diabetic patients,in order to improve diabetic patients'self-management level and to reduce the pro-ductivity loss caused by diabetes mellitus.
维普
万方数据