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Costs and Epidemiological Changes of Chronic Diseases: Implications and Challenges for Health Systems

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  • Armando Arredondo
  • Raul Aviles

Abstract

Background: The need to integrate economic and epidemiological aspects in the clinical perspective leads to a proposal for the analysis of health disparities and to an evaluation of the health services and of the new challenges which are now being faced by health system reforms in middle income countries. Objective: To identify the epidemiological changes, the demand for health services and economic burden from chronic diseases (diabetes and hypertension) in a middle income county. Methods: We conducted longitudinal analyses of costs and epidemiological changes for diabetes and hypertension in the Mexican health system. The study population included both the insured and uninsured populations. The cost-evaluation method was used, based on the instrumentation and consensus techniques. To estimate the epidemiological changes and financial consequences for 2014–2016, six models were constructed according to the Box-Jenkins technique, using confidence intervals of 95%, and the Box-Pierce test. Results: Regarding epidemiological changes expected in both diseases for 2014 vs. 2016, an increase is expected, although results predict a greater increase for diabetes, 8–12% in all three studied institutions, (p

Suggested Citation

  • Armando Arredondo & Raul Aviles, 2015. "Costs and Epidemiological Changes of Chronic Diseases: Implications and Challenges for Health Systems," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-12, March.
    • Handle: RePEc:plo:pone00:0118611
    DOI: 10.1371/journal.pone.0118611
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    References listed on IDEAS

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    1. Arredondo, A., 2013. "Diabetes: A global challenge with high economic burden for public health systems and society," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 1-2.
    2. Armando Arredondo & Gabriela Reyes, 2013. "Health Disparities from Economic Burden of Diabetes in Middle-income Countries: Evidence from México," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-6, July.
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    Cited by:

    1. J E Alcalde-Rabanal & E Orozco-Núñez & O E Espinosa-Henao & A Arredondo-López & L Alcayde-Barranco, 2018. "The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-17, January.
    2. Chuan De Foo & Yan Lin Tan & Pami Shrestha & Ke Xin Eh & Ian Yi Han Ang & Milawaty Nurjono & Sue-Anne Toh & Farah Shiraz, 2020. "Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-18, November.
    3. Armando Arredondo & Ana Lucia Recamán & José Carlos Suarez‐Herrera & Silvia Magali Cuadra, 2021. "Recent trends for the management of hypertension in older adults in Latin America in the context of universal coverage: Evidence from Mexico," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 579-586, March.
    4. Chuan De Foo & Shilpa Surendran & Geronimo Jimenez & John Pastor Ansah & David Bruce Matchar & Gerald Choon Huat Koh, 2021. "Primary Care Networks and Starfield’s 4Cs: A Case for Enhanced Chronic Disease Management," IJERPH, MDPI, vol. 18(6), pages 1-13, March.

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