[Financial impact of smoking on health systems in Latin America: A study of seven countries and extrapolation to the regional level].

Autor:	Pichon-Riviere A; Instituto de Efectividad Clínica y Sanitaria (IECS - CONICET), Argentina., Bardach A; Instituto de Efectividad Clínica y Sanitaria (IECS - CONICET), Argentina., Augustovski F; Instituto de Efectividad Clínica y Sanitaria (IECS - CONICET), Argentina., Alcaraz A; Instituto de Efectividad Clínica y Sanitaria (IECS - CONICET), Argentina., Reynales-Shigematsu LM; Departamento de Investigación sobre Tabaco, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública (INSP), México., Pinto MT; Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Castillo-Riquelme M; Departamento de Economía de la Salud, Ministerio de Salud, Chile., Torres EP; Instituto de Evaluación Tecnológica en Salud (IETS), Colombia., Osorio DI; Instituto de Evaluación Tecnológica en Salud (IETS), Colombia., Huayanay L; Universidad Peruana Cayetano Heredia, Perú., Munarriz CL; Universidad Peruana Cayetano Heredia, Perú., de Miera-Juárez BS; Departamento de Investigación sobre Tabaco, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública (INSP), México., Gallegos-Rivero V; Centro Nacional de Excelencia Tecnológica en Salud (CENETEC), Secretaría de Salud, México., Puente C; Capacitación, Investigación y Gestión para la Salud Basada en la Evidencia (CIGES), Universidad de la Frontera, Chile., Navia-Bueno MD; Universidad Mayor de San Andrés, Bolivia., Caporale J; Instituto de Efectividad Clínica y Sanitaria (IECS - CONICET), Argentina.
Jazyk:	Spanish; Castilian
Zdroj:	Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2016 Oct; Vol. 40 (4), pp. 213-221.
Abstrakt:	Objective: Estimate smoking-attributable direct medical costs in Latin American health systems. Methods: A microsimulation model was used to quantify financial impact of cardiovascular and cerebrovascular disease, chronic obstructive pulmonary disease (COPD), pneumonia, lung cancer, and nine other neoplasms. A systematic search for epidemiological data and event costs was carried out. The model was calibrated and validated for Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, countries that account for 78% of Latin America's population; the results were then extrapolated to the regional level. Results: Every year, smoking is responsible for 33 576 billion dollars in direct costs to health systems. This amounts to 0.7% of the region's gross domestic product (GDP) and 8.3% of its health budget. Cardiovascular disease, COPD, and cancer were responsible for 30.3%, 26.9%, and 23.7% of these expenditures, respectively. Smoking-attributable costs ranged from 0.4% (Mexico and Peru) to 0.9% (Chile) of GDP and from 5.2% (Brazil) to 12.7% (Bolivia) of health expenditures. In the region, tax revenues from cigarette sales barely cover 37% of smoking-attributable health expenditures (8.1% in Bolivia and 67.3% in Argentina). Conclusions: Smoking is responsible for a significant proportion of health spending in Latin America, and tax revenues from cigarette sales are far from covering it. The region's countries should seriously consider stronger measures, such as an increase in tobacco taxes.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu