2004ASAP從社會福利角度看菸害防制

從社會福利角度看菸害防制楊銘欽台大醫療機構管理研究所 2004-07-12

討論題綱 ,[object Object],[object Object],[object Object],[object Object],[object Object]

為什麼要吸菸？ ,[object Object],[object Object],[object Object]

吸菸對健康的影響？ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

吸菸對社會福利的影響？ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

如何估計吸菸的經濟成本？ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Health Consequences of Smoking, A Report of the Surgeon General, 2004 ,[object Object],[object Object],[object Object],[object Object]

Four Major Conclusions of the 2004 Report (1/5) ,[object Object]

Four Major Conclusions of the 2004 Report (4/5) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Four Major Conclusions of the 2004 Report (5/5) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

戒菸的效果 ,[object Object],[object Object]

不吸菸活卡久 30 歲前戒菸可避免早死記者湯慧文、彭迪／洛杉磯報導 2004-6-22 10:54 英國牛津大學一項橫跨半個世紀的調查發現，年輕的吸菸者如果在 30 歲以前戒掉菸癮，就可以避免早死的命運。這項從 1951 年就開始進行的研究發現，長期吸菸者和非吸菸者比較起來，平均壽命會短 10 年。研究結果顯示，年輕時期就開始吸菸的人，每 4 個中會有 1 人在中年去世。研究報告也顯示，假使吸菸者在 30 歲前懸崖，大都可以避免早死，如果在 50 歲才開始戒菸，早死的比例還是可以減半。

世界禁菸日 5/31 WHO ,[object Object],[object Object],[object Object]

菸草與貧窮 – 惡性循環 ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

如何估計菸害的經濟成本？ ,[object Object],[object Object],[object Object],[object Object],[object Object]

Importance of the Study ,[object Object],[object Object]

Purpose of the study ,[object Object]

Materials and Methods 1 ,[object Object],[object Object],[object Object]

Materials and Methods 2 ,[object Object],[object Object]

Materials and Methods 3 ,[object Object],[object Object],[object Object],[object Object]

1. Identifying diseases associated with smoking ,[object Object],[object Object],[object Object]

2. Deciding types of costs to be estimated ,[object Object],[object Object],[object Object]

3. Estimating the quantity and valuing the medical resources used ,[object Object],[object Object]

3.1 Expenditure and quantity of hospitalization ,[object Object],[object Object],[object Object],[object Object],[object Object]

3.2 Expenditure and quantity of outpatient visit ,[object Object],[object Object],[object Object]

3.3 Estimating the fraction of services attributable to smoking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

3.4 Estimating morbidity cost ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The prevalence rate of smokers in 1990 Sex Aged 35-49 Aged 50-64 Aged 65+ Male 63.95% 65.30% 54.91% Female 4.12% 4.95% 8.35%

3.5 Calculating smoking attributable fraction (SAF) ,[object Object],[object Object]

3.6 Calculating the mean annual expenditure of the smoker and the non-smoker (1) ,[object Object],[object Object],[object Object]

3.6 Calculating the mean annual expenditure of the smoker and the non-smoker (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Table 1. Population attributable risk due to smoking by disease and age group for both sexes aged 35 and older in Taiwan, 2000

Table 2. Smoking-Attributable-Expenditure (SAE) of outpatient by disease and age group for males aged 35 and older in Taiwan, 2000 5%

Table 3. Smoking-Attributable-Expenditure (SAE) of outpatient by disease and age group for females aged 35 and older in Taiwan, 2000

Table 4. Smoking-Attributable-Expenditure (SAE) of inpatient by disease and age group for males aged 35 and older in Taiwan, 2000

Table 5. Smoking-Attributable-Expenditure (SAE) of inpatient by disease and age group for females aged 35 and older in Taiwan, 2000

Table 6. Smoking-Attributable-Expenditure (SAE) by disease for both sexes aged 35 and older in Taiwan, 2000

Table 7. Smoking-Attributable-Expenditure (SAE) by disease and service type for both sexes aged 35 and older in Taiwan, 2000

Table 8 . Smoking-Attributable-Fraction (SAF) of each disease system by service type for males aged 35 and older in Taiwan, 2000

Table 9 . Smoking-Attributable-Fraction (SAF) of each disease system by service type for females aged 35 and older in Taiwan, 2000

Table 10 . Smoking-Attributable-Fraction (SAF) of each disease system by service type for both sexes aged 35 and older in Taiwan, 2000

Table 11. Mean Annual Medical Expenditure for Smokers and Non-Smokers in Taiwan, 2000

Summary of the Results ,[object Object],[object Object],[object Object],[object Object],[object Object]

Discussion 1 ,[object Object],[object Object],[object Object]

Discussion 2 ,[object Object],7.4% 10.6% 2000 Taiwan NHI This study 5.6% 11.4% 1993 U.S. Medicare Zhang et al Outpatient Inpatient Study Authors

Discussion 3 ,[object Object],8.5% Taiwan This Study 6 – 8% U.S. Warner et al SAFs Study Authors

Discussion 4 ,[object Object],8.2% 40% Respiratory 19.8% 25% Circulatory 23.5% 20% Neoplasm This study, 2000 Luce and Schweitzer, 1978 SAFsuthors

Discussion 5 ,[object Object],[object Object],[object Object]

Limitations ,[object Object],[object Object],[object Object]

菸害防制對社會福利的影響為何？ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thank You for Your Attention!

2004ASAP從社會福利角度看菸害防制

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