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. 2020 Sep 11;15(9):e0238565.
doi: 10.1371/journal.pone.0238565. eCollection 2020.

Assessing the future medical cost burden for the European health systems under alternative exposure-to-risks scenarios

Yevgeniy Goryakin  1 , Sophie P Thiébaut  2 , Sébastien Cortaredona  3 , M Aliénor Lerouge  1 , Michele Cecchini  1 , Andrea B Feigl  1 , Bruno Ventelou  3
Affiliations

Assessing the future medical cost burden for the European health systems under alternative exposure-to-risks scenarios

Yevgeniy Goryakin et al. PLoS One. .

Abstract

Background: Ageing populations and rising prevalence of non-communicable diseases (NCDs) increasingly contribute to the growing cost burden facing European healthcare systems. Few studies have attempted to quantify the future magnitude of this burden at the European level, and none of them consider the impact of potential changes in risk factor trajectories on future health expenditures.

Methods: The new microsimulation model forecasts the impact of behavioural and metabolic risk factors on NCDs, longevity and direct healthcare costs, and shows how changes in epidemiological trends can modify those impacts. Economic burden of NCDs is modelled under three scenarios based on assumed future risk factors trends: business as usual (BAU); best case and worst case predictions (BCP and WCP).

Findings: The direct costs of NCDs in the EU 27 countries and the UK (in constant 2014 prices) will grow under all scenarios. Between 2014 and 2050, the overall healthcare spending is expected to increase by 0.8% annually under BAU. In the all the countries, 605 billion Euros can be saved by 2050 if BCP is realized compared to the BAU, while excess spending under the WCP is forecast to be around 350 billion. Interpretation: Although the savings realised under the BCP can be substantial, population ageing is a stronger driver of rising total healthcare expenditures in Europe compared to scenario-based changes in risk factor prevalence.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Conceptual framework for high BMI attributable direct costs.
Fig 2
Fig 2. Change in average direct costs in the EU-27 countries and the UK for people 18 years and older, 2014–2050.
Base refers to BAU scenario; Best- to BCP and Worst- to WCP.
Fig 3
Fig 3. Health expenditure savings compared to baseline scenario, 2014–2050.
EE means Central and Eastern Europe; EU: European Union; NE is Northern Europe and SE is Southern Europe.
Fig 4
Fig 4. Total savings and losses as a % of total health expenditures, 2014–2050.
EE means Central and Eastern Europe; EU: European Union; NE is Northern Europe and SE is Southern Europe. Best refers to BCP and worst- to WCP. Blue bars reprsent savings, red bars-losses.
Fig 5
Fig 5. Annual cost savings by age cohorts in the EU, 2014–2050.
Best refers to BCP and Worst to WCP.
Fig 6
Fig 6. Cost savings by gender in the EU, 2014–2050.
Best refers to BCP and Worst to WCP.
See this image and copyright information in PMC

References

    1. Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017. 10.1016/S0140-6736(17)32154-2 - DOI - PMC - PubMed
    1. Garg C, Evans D. What is the impact of non- communicable diseases on National Health Expenditures: A synthesis of available data. Heal Syst Financ. 2011; 1–13. Available: http://www.who.int/healthsystems/NCDdiscussionpaper3.pdf
    1. Ghebreyesus TA. Acting on NCDs: counting the cost. The Lancet. 2018. 10.1016/S0140-6736(18)30675-5 - DOI - PubMed
    1. Sassi F. Obesity and the economics of prevention: Fit not fat. Obesity and the Economics of Prevention: Fit Not Fat. 2010. 10.1787/9789264084865-en - DOI
    1. Devaux M, Sassi F. The Labour Market Impacts of Obesity, Smoking, Alcohol Use and Related Chronic Diseases. OECD Heal Work Pap. 2015. 10.1787/5jrqcn5fpv0v-en - DOI

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