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Obesity and metabolic state are associated with increased healthcare resource and medication use and costs: a Finnish population-based study

Author

Listed:
  • Aino Vesikansa

    (MedEngine Oy)

  • Juha Mehtälä

    (MedEngine Oy)

  • Katja Mutanen

    (Novo Nordisk Farma Oy)

  • Annamari Lundqvist

    (Finnish Institute for Health and Welfare)

  • Tiina Laatikainen

    (Finnish Institute for Health and Welfare
    University of Eastern Finland
    Joint Municipal Authority for North Karelia Social and Health Services (Siun Sote))

  • Tero Ylisaukko-oja

    (MedEngine Oy
    University of Oulu)

  • Tero Saukkonen

    (Novo Nordisk Farma Oy)

  • Kirsi H. Pietiläinen

    (University of Helsinki
    Helsinki University Hospital and University of Helsinki)

Abstract

Aim To characterize healthcare resource (HCRU) and medication use and associated costs in individuals with obesity compared with individuals with normal weight or overweight in a population-based cohort of Finnish adults. The association between metabolic state and direct costs was also assessed. Methods The study cohort included 5587 randomly selected individuals who participated in the national FinHealth 2017 health examination survey. Data on healthcare visits and hospital stays, including diagnoses (ICD-10), and purchases and costs of prescription medicines were collected from the nationwide registers by the Finnish Institute for Health and Welfare and Social Insurance Institution of Finland. The healthcare costs were calculated based on standard unit costs reported by the Finnish Institute for Health and Welfare. Results The total annual direct costs were €2665 (SD €5673) and €1799 (SD €3874) per person with obesity and with normal weight or overweight, respectively. Obesity was associated with significantly increased total direct (age- and sex-adjusted cost rate ratio, RR, 1.356; p

Suggested Citation

  • Aino Vesikansa & Juha Mehtälä & Katja Mutanen & Annamari Lundqvist & Tiina Laatikainen & Tero Ylisaukko-oja & Tero Saukkonen & Kirsi H. Pietiläinen, 2023. "Obesity and metabolic state are associated with increased healthcare resource and medication use and costs: a Finnish population-based study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(5), pages 769-781, July.
    • Handle: RePEc:spr:eujhec:v:24:y:2023:i:5:d:10.1007_s10198-022-01507-0
    DOI: 10.1007/s10198-022-01507-0
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    References listed on IDEAS

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    1. Maximilian Tremmel & Ulf-G. Gerdtham & Peter M. Nilsson & Sanjib Saha, 2017. "Economic Burden of Obesity: A Systematic Literature Review," IJERPH, MDPI, vol. 14(4), pages 1-18, April.
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    More about this item

    Keywords

    Body mass index; Obesity; Healthcare resource use; Medication use; Costs;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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