Table_3_Health care expenses impact on the disability-adjusted life years in non-communicable diseases in the European Union.docx

BackgroundNon-communicable diseases are a global health problem. The metric Disability-Adjusted Life Years was developed to measure its impact on health systems. This metric makes it possible to understand a disease’s burden, towards defining healthcare policies. This research analysed the effect of healthcare expenditures in the evolution of disability-adjusted life years for non-communicable diseases in the European Union between 2000 and 2019.MethodsData were collected for all 27 European Union countries from Global Burden of Disease 2019, Global Health Expenditure, and EUROSTAT databases. Econometric panel data models were used to assess the impact of healthcare expenses on the disability-adjusted life years. Only models with a coefficient of determination equal to or higher than 10% were analysed.ResultsThere was a decrease in the non-communicable diseases with the highest disability-adjusted life years: cardiovascular diseases (−2,952 years/105 inhabitants) and neoplasms (−618 years/105 inhabitants). Health expenditure significantly decreased disability-adjusted life years for all analysed diseases (p  0.05) whereas public health expenditure did not significantly influence skin and subcutaneous diseases (p > 0.05).ConclusionHealth expenditure have proved to be effective in the reduction of several diseases. However, some categories such as musculoskeletal and mental disorders must be a priority for health policies in the future since, despite their low mortality, they can present high morbidity and disability.

背景：非传染性疾病已成为全球性的公共卫生问题。为衡量其对健康系统的影响，开发了残疾调整生命年（DALY）这一指标。该指标有助于理解疾病的负担，进而为制定医疗保健政策提供依据。本研究分析了2000年至2019年欧盟非传染性疾病残疾调整生命年的演变中医疗保健支出的影响。方法：收集了来自全球疾病负担2019、全球卫生支出和EUROSTAT数据库的27个欧盟国家的数据。采用计量经济学面板数据模型评估医疗保健支出对残疾调整生命年的影响。仅分析了决定系数等于或高于10%的模型。结果：具有最高残疾调整生命年的非传染性疾病有所下降：心血管疾病（−2,952年/105人）和肿瘤（−618年/105人）。医疗保健支出显著降低了所有分析疾病的残疾调整生命年（p＜0.05），而公共卫生支出对皮肤和皮下疾病没有显著影响（p＞0.05）。结论：医疗保健支出已被证明在降低多种疾病方面是有效的。然而，一些类别，如肌肉骨骼疾病和精神疾病，必须成为未来医疗保健政策的优先考虑，因为这些疾病尽管死亡率较低，但可能具有较高的发病率和残疾率。