The global impact of non-communicable diseases on healthcare spending and national income: a systematic review

摘要: The impact of non-communicable diseases (NCDs) in populations extends beyond ill-health and mortality with large financial consequences. To systematically review meta-analyze studies evaluating the NCDs (including coronary heart disease, stroke, type 2 diabetes mellitus, cancer (lung, colon, cervical breast), chronic obstructive pulmonary disease kidney disease) at macro-economic level: healthcare spending national income. Medical databases (Medline, Embase Google Scholar) up to November 6th 2014. For further identification suitable studies, we searched reference lists included contacted experts field. We randomized controlled trials, systematic reviews, cohorts, case-control, cross-sectional, modeling ecological carried out adults assessing economic consequences on income without language restrictions. All abstracts full text selection was done by two independent reviewers. Any disagreements were resolved through consensus or consultation a third reviewer. Data extracted reviewers using pre-designed data collection form. Studies least one selected following outcome measures: expenditure, income, hospital spending, gross domestic product (GDP), product, net adjusted total costs, direct indirect inpatient outpatient per capita aggregate outcome, capital loss production levels country, growth, GDP (per income), percentage change GDP, intensive extensive employment, governmental expenditure non-governmental expenditure. From 4,364 references, 153 met our inclusion criteria. Most focused related costs NCDs. 30 reported budgets 13 Healthcare for cardiovascular (12-16.5 %) highest; other ranged between 0.7 7.4 %. NCD-related health vary across countries, regions, according NCD. Additionally, there is an increase increased severity years lived disease. Low- middle-income (LMI) countries focus just 16 papers, which suggests information shortage concerning true burden these countries. pose significant nations' welfare, likely over time. However work required standardize more consistently methods available assess involve (hitherto under-addressed) LMI globe.