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Financial consequences from smoking‐related diseases in middle‐income countries: Evidence and lessons from Mexico
Author(s) -
Arredondo Armando,
Recaman Ana Lucia,
Pinzon Carlos,
Azar Alejandra
Publication year - 2018
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2487
Subject(s) - psychological intervention , health care , consumption (sociology) , epidemiology , competition (biology) , finance , business , actuarial science , environmental health , economics , public economics , medicine , economic growth , ecology , social science , psychiatry , sociology , biology
Summary Middle‐income countries are experiencing a significant growth of tobacco consumption‐related diseases, while their health systems lack the financial capacity to face them. Existing studies provide a general economic measurement of the problem but give no detailed evidence on the actual financial needs. The aim of this study was to measure the health care costs and financial consequences of the epidemiological changes related to tobacco consumption. A time‐series analysis for 2000 to 2016 was carried out in a national reference hospital in Mexico. We developed probabilistic models following the Box‐Jenkins methodology to forecast the expected changes in the epidemiologic profile and the health care services required for selected interventions. Health care costs were estimated following the instrumentation methods and validated with consensus technique. Comparing the epidemiological and economic burden in 2017 vs. 2019, there is a 20% to 90% increase in expected cases depending of the disease ( p < .001) and a 25% to 93% increase in financial requirements ( p < .001). Our data suggest that changes in the number of expected cases during the study period highlight the process of internal competition and add an element of intrinsic competition in the financial management of preventive and curative interventions.