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Potential Cost Savings for the Healthcare System by Physical Activity in Different Chronic Diseases: A Pilot Study in the Veneto Region of Italy

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  • Sara Ortolan

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Daniel Neunhaeuserer

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Giulia Quinto

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Barbara Barra

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy)

  • Anna Centanini

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Francesca Battista

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Marco Vecchiato

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

  • Valentina De Marchi

    (Department of Economics and Management “Marco Fanno”, University of Padova, Via Bassi 1, 35131 Padova, Italy)

  • Martina Celidoni

    (Department of Economics and Management “Marco Fanno”, University of Padova, Via Bassi 1, 35131 Padova, Italy)

  • Vincenzo Rebba

    (Department of Economics and Management “Marco Fanno”, University of Padova, Via Bassi 1, 35131 Padova, Italy)

  • Andrea Ermolao

    (Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
    Clinical Network of Sports and Exercise Medicine of the Veneto Region, Via Giustiniani 2, 35128 Padova, Italy)

Abstract

Background: Sedentary behaviour (SB) and physical inactivity (PI) are associated with an increased risk of chronic diseases and a significant economic burden. This pilot study aims to estimate the possible cost savings for the Veneto Regional Health Service (Italy) due to a population-based physical activity (PA) intervention. Methods: The PA-related cost-savings were assessed for four chronic diseases in the whole and sedentary populations of the Veneto region. The SB and PA epidemiological data, regarding an additional percutaneous coronary intervention in coronary artery disease, hospitalizations in chronic obstructive pulmonary disease, surgery for colorectal cancer, and femur fracture, were obtained from national and regional administrative sources. A relative risk reduction, due to PA, was obtained from the recent literature. The annual healthcare costs were estimated using the regional diagnosis-related group tariffs. Results: The annual estimated cost-savings for the regional healthcare service related to these four outcomes: an amount between EUR 5,310,179 (if a conservative analysis was performed) and EUR 17,411,317. Conclusion: By a downward estimate, regarding the direct healthcare costs, PA interventions could lead to important cost-savings in the Veneto region. The savings would be greater when considering the cross-sectional impact on other healthcare costs, comorbidities, and indirect costs.

Suggested Citation

  • Sara Ortolan & Daniel Neunhaeuserer & Giulia Quinto & Barbara Barra & Anna Centanini & Francesca Battista & Marco Vecchiato & Valentina De Marchi & Martina Celidoni & Vincenzo Rebba & Andrea Ermolao, 2022. "Potential Cost Savings for the Healthcare System by Physical Activity in Different Chronic Diseases: A Pilot Study in the Veneto Region of Italy," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7375-:d:839969
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    References listed on IDEAS

    as
    1. Marlène Guillon & Lise Rochaix & Jean-Claude Dupont, 2018. "Cost-Effectiness of Interventions Based on Physical Activity in the Treatment of Chronic Conditions: A Systematic Literature Review," PSE-Ecole d'économie de Paris (Postprint) halshs-02096411, HAL.
    2. Giulia Foccardi & Marco Vecchiato & Daniel Neunhaeuserer & Michele Mezzaro & Giulia Quinto & Francesca Battista & Federica Duregon & Roberto Carlon & Andrea Ermolao, 2021. "Effectiveness of Text Messaging as an Incentive to Maintain Physical Activity after Cardiac Rehabilitation: A Randomized Controlled Pilot Study," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    3. Jacob Meyer & Cillian McDowell & Jeni Lansing & Cassandra Brower & Lee Smith & Mark Tully & Matthew Herring, 2020. "Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    4. Marco Vecchiato & Giulia Quinto & Stefano Palermi & Giulia Foccardi & Barbara Mazzucato & Francesca Battista & Federica Duregon & Federica Michieletto & Daniel Neunhaeuserer & Andrea Ermolao, 2022. "Are Gyms a Feasible Setting for Exercise Training Interventions in Patients with Cardiovascular Risk Factors? An Italian 10-Years Cross-Sectional Survey Comparison," IJERPH, MDPI, vol. 19(4), pages 1-9, February.
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