Costs and Epidemiological Changes of Chronic Diseases: Implications and Challenges for Health Systems

Armando Arredondo and Raul Aviles

PLOS ONE, 2015, vol. 10, issue 3, 1-12

Abstract: Background: The need to integrate economic and epidemiological aspects in the clinical perspective leads to a proposal for the analysis of health disparities and to an evaluation of the health services and of the new challenges which are now being faced by health system reforms in middle income countries. Objective: To identify the epidemiological changes, the demand for health services and economic burden from chronic diseases (diabetes and hypertension) in a middle income county. Methods: We conducted longitudinal analyses of costs and epidemiological changes for diabetes and hypertension in the Mexican health system. The study population included both the insured and uninsured populations. The cost-evaluation method was used, based on the instrumentation and consensus techniques. To estimate the epidemiological changes and financial consequences for 2014–2016, six models were constructed according to the Box-Jenkins technique, using confidence intervals of 95%, and the Box-Pierce test. Results: Regarding epidemiological changes expected in both diseases for 2014 vs. 2016, an increase is expected, although results predict a greater increase for diabetes, 8–12% in all three studied institutions, (p

Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0118611

DOI: 10.1371/journal.pone.0118611

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