Estimation of the Effects of Air Pollution on Hospitalization Expenditures for Asthma

被引:4
作者
Zhang, Fengyi [1 ]
Luo, Li [1 ]
Wang, Ziyan [1 ]
Zhang, Wei [2 ]
Li, Chunyang [2 ]
Qiu, Zhixin [3 ]
Huang, Debin [4 ]
机构
[1] Sichuan Univ, Business Sch, Chengdu, Sichuan, Peoples R China
[2] Sichuan Univ, West China Hosp, West China Biomed Big Data Ctr, Chengdu, Sichuan, Peoples R China
[3] Sichuan Univ, West China Hosp, Resp & Crit Care Med, Chengdu, Sichuan, Peoples R China
[4] Chengdu Med Insurance Adm, Chengdu, Sichuan, Peoples R China
来源
INTERNATIONAL JOURNAL OF HEALTH SERVICES | 2020年 / 50卷 / 01期
基金
中国国家自然科学基金;
关键词
asthma; hospitalization expense; air pollution; readmission; medical insurance; UNITED-STATES; CHILDHOOD ASTHMA; AMBIENT AIR; COSTS; ADMISSIONS; BURDEN; READMISSIONS; REDUCTION; MORTALITY; COUNTRIES;
D O I
10.1177/0020731419874996
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This article aims to estimate the effects of air pollutants (PM2.5, PM10, SO2, and NO2) on the hospitalization expenses of adult patients admitted due to asthma. The data is sourced from the medical health database of a city in Southwest China, which involves approximately 14 million residents. A generalized additive model using a Poisson distribution was utilized to identify the effects of air pollution on the cost of hospitalization due to asthma. Hospital admissions were stratified by sex, age, season, and type of medical insurance to specialize the results. Air pollution significantly affects hospitalization expenses for asthma. These effects were more significant in the male, non-senior subgroups than in the female, senior subgroups. The difference also significantly existed in different insurance type subgroups. Air pollution has adverse effects on hospitalization expenses for asthma. Climate change is now deeply affecting the world in the aspects of economy and health. Based on our research, policymakers can establish more effective air pollution reduction policies and measures that can control the levels of ambient air pollutants, which help save health care resources and improve the welfare of the population by easing the climate change.
引用
收藏
页码:100 / 109
页数:10
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