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In most countries the usual procedure for deciding on government expenditure in a forthcoming year has been to assume that existing expenditure was appropriate and then to decide on incremental expenditure for each program.
Is there an estimate of the aggregate incremental expenditure required for the decision-makers to whom the study is addressed, to provide this product to patients covered by their programs?
As well as recommending that selective COX-2 inhibitors only be an option for patients with arthritis who are at high risk of an adverse GI event, NICE also estimated that switching high-risk arthritis patients to selective COX-2 inhibitors would lead to an annual incremental expenditure of approximately £25 million to the National Health Service (NHS) [ 5].
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Multivariate regression models were used to estimate the incremental expenditures attributable to back pain.
This differs from traditional budgeting processes by examining all expenses for each new period, not just incremental expenditures in obvious areas.
OBJECTIVE: To estimate total health care expenditures incurred by individuals with back pain in the United States, calculate the incremental expenditures attributable to back pain among these individuals, and describe health care expenditure patterns of individuals with back pain.
RESULTS: In 1998, total health care expenditures incurred by individuals with back pain in the United States reached 90.7 billion dollars and total incremental expenditures attributable to back pain among these persons were approximately 26.3 billion dollars.
Moreover, incremental expenditures would be considerably lower than investments in many other well accepted social programs (e.g., airline and automobile safety) per life year gained [ 23].
Additionally, incremental expenditures of musculoskeletal patients were $1,789 compared to those subjects with similar characteristics but without a diagnosis of musculoskeletal disease.
Such methods may have explained why obesity, when examined as an isolated risk-factor in a middle-aged population, failed to be associated with significant incremental expenditures as compared with matched controls.
We examined the association of depression, anxiety and any mental disorders with incremental health expenditure, i.e. the linear increase in health expenditure associated with mental disorders, and lost days of normal activity.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com