2012년 흡연으로 인한 건강보험 진료비 추정 연구
Smoking Attributable Risk and Medical Care Cost in 2012 in Korea
2
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
Objectives: The purpose of the study was to estimate relative risk and attributable risk of 35 tobacco-related diseases and to compute total medical expenses on smoking by providing a cohort study with 20 years follow-up period. Methods: Smoking-attributable medical costs were calculated by applying the percentages of population attributable risks (PARs) to the estimated medical costs by the tobacco related diseases in 2012. In this study, PARs were obtained by using relative risks from the Korean Cancer Prevention Study and the previous studies, and population smoking prevalence surveyed in 1990 conducted by Korean Institute of Tuberculosis. Results: As a result, the medical expenses from tobacco use were 1,846,562,350,000 won (about 3.86% of total medical expenses). The top 5 medical expenses on tobacco-related diseases were ischemic heart diseases, cerebrovascular diseases, lung cancer, diabetes, and chronic obstructive pulmonary disease, re- spectively. More than a half percent of total medical expenses (about one billion dollars) were spent from these five, tobacco-related diseases. Conclusions: While the harmful effect of smoking is expected to have a steady increase for a while, anti- smoking policy should be reinforced to reduce the risk of disease incidence, and the medical expenses for treating the tobacco-related diseases.
Abstract
Objectives: The purpose of the study was to estimate relative risk and attributable risk of 35 tobacco-related diseases and to compute total medical expenses on smoking by providing a cohort study with 20 years follow-up period. Methods: Smoking-attributable medical costs were calculated by applying the percentages of population attributable risks (PARs) to the estimated medical costs by the tobacco related diseases in 2012. In this study, PARs were obtained by using relative risks from the Korean Cancer Prevention Study and the previous studies, and population smoking prevalence surveyed in 1990 conducted by Korean Institute of Tuberculosis. Results: As a result, the medical expenses from tobacco use were 1,846,562,350,000 won (about 3.86% of total medical expenses). The top 5 medical expenses on tobacco-related diseases were ischemic heart diseases, cerebrovascular diseases, lung cancer, diabetes, and chronic obstructive pulmonary disease, re- spectively. More than a half percent of total medical expenses (about one billion dollars) were spent from these five, tobacco-related diseases. Conclusions: While the harmful effect of smoking is expected to have a steady increase for a while, anti- smoking policy should be reinforced to reduce the risk of disease incidence, and the medical expenses for treating the tobacco-related diseases.
참고문헌 (38)
- "WHO fact sheet" (2014)[URL]
- Jee SH, "Smoking-attributable mortality among Korean adults: 1970-2020", Korean Journal of Epidemiology, 28(1), pp.83~90 (2006)
- 정금지, "한국인 성인 남녀의 흡연관련 사망에 관한 연구", 보건정보통계학회지, 38(2), pp.36~48 (2013), 한국보건정보통계학회
- Jee SH, "Smoking and atherosclerotic cardiovascular disease in men with lower levels of serum cholesterol: the Korea medical insurance corporation study", The Journal of the American Medical Association, 282(22), pp.2149~2155 (1999)
- Jee SH, "Smoking and cancer risk in Korean men and women", Cancer Causes and Control, 15, pp.341~348 (2004)
- Jee SH, "Cigarette smoking, alcohol drinking, hepatitis B, and risk for hepatocellular carcinoma in Korea", Journal of National Cancer Institute, 96(24), pp.1851~1856 (2004)
- Jee SH, "Smoking and cause of death in Korea: 11 years follow-up prospective study", Korean Journal Epidemiology, 27(1), pp.182~190 (2005)
- Yun JE, "Cigarette smoking, elevated fasting serum glucose, and risk of pancreatic cancer in Korean men", International Journal of Cancer, 119(1), pp.208~212 (2006)
- Jee SH, "Smoking and risk of tuberculosis incidence, mortality, and recurrence in South Korean men and women", American Journal Epidemiology, 170(12), pp.1478~1485 (2009)
- Jee SH, "Smoking and risk for diabetes incidence and mortality in Korean Men and Women", Diabetes Care, 33(12), pp.2567~2572 (2010)
- Jee SH, "Body mass index and cancer risk in Korean men and women", International Journal of Cancer, 123(8), pp.1892~1896 (2008)
- 목예진, "직장 내 휘트니스 센터 이용횟수와 심혈관질환 위험요인의 변화", 보건정보통계학회지, 36(2), pp.69~80 (2011), 한국보건정보통계학회
- 김희진, "The Independent Effects of Cigarette Smoking, Alcohol Consumption, and Serum Aspartate Aminotransferase on the Alanine Aminotransferase Ratio in Korean Men for the Risk for Esophageal Cancer", Yonsei Medical Journal, 51(3), pp.310~317 (2010), 연세대학교의과대학
- Sang-Yi Lee, "Medical expenditure of National Health Insurance attributable to smoking among the Korean population", 예방의학회지, 40(3), pp.227~232 (2007), 대한예방의학회
- Allotment Imposition of Health Risk Factors for Securing Financial Resources, "Lee SM", Health Insurance Policy Institute, National Health Insurance Service, 60~207 (2012)
- Kim HJ, "Analysis of socioeconomic costs of smoking in Korea", Korean Journal of Preventive Medicine, 34(3), pp.183~190 (2001)
- Neubauer S, "Mortality, morbidity and costs attributable to smoking in Germany:update and a 10-year comparison", Tobacco Control, 15(6), pp.464~471 (2006)
- Rehm J, "The costs of alcohol, illegal drugs, and tobacco in Canada, 2002", Journal of Studies on Alcohol and Drugs, 68(6), pp.886~895 (2007)
- Groenewald P, "Estimating the burden of disease attributable to smoking in South Africa in 2000", The South African Medical Journal, 97(8), pp.674~681 (2007)
- Callum C, "Estimating the cost of smoking to the NHS in England and the impact of declining prevalence", Health Economics, Policy, and Law, 6(4), pp.489~508 (2011)
- Kimm H, "Mid-life and late-life vascular risk factors and dementia in Korean men and women", Archives of Gerontology and Geriatrics, 52(3), pp.e117~e122 (2011)
- Smoking and health in the Americans. The 1992 report of the Surgeon General, "U.S. Department of Health and Human Services", Pan American health Organization, 106~ (1992)
- National Cancer Center, "Attributable Causes of Cancer in Korean in the year 2009", 57~ (2013)
- Oza S, "How many deaths are attributable to smoking in the United States? Comparison of methods for estimating smoking-attributable mortality when smoking prevalence changes", Preventive Medicine, 52(6), pp.428~433 (2011)
- Ryu WJ, "A survey on the smoking habits in Korea, 1980, 1985, and 1990", Tuberculosis and Respiratory Diseases, 38(4), pp.450~451 (1991)
- "Centers for Disease Control and Prevention" (2014)[URL]
- Reducing the health consequences of smoking: 25 years of progress, "U.S. Department of Health and Human Services", US Government Printing Office, 117~169 (1989)
- Lokken RP, "Air pollution and risk of stroke: underestimation of effect due to misclassification of time of event onset", Epidemiology, 20(1), pp.137~142 (2009)
- Part JK, "The accuracy of ICD codes for cerebrovascular diseases in medical insurance claims", Korean journal of Preventive Medicine, 33(1), pp.76~82 (2000)
- 김희진, "Validity of the Diagnosis of Acute Myocardial Infarction in Korean National Medical Health Insurance Claims Data: The Korean Heart Study (1)", Korean Circulation Journal, 42(1), pp.10~15 (2012), 대한심장학회
- Kimm H, "Validity of the diagnosis of acute myocardial infarction in Korean national medical health insurance claims data 2008-2011 and its trend in 10 years: the Korean heart study (2)", National Annual Conference on The Korean Society of Cardiology (2013)
- Hill AB, "The environmental and disease: association or causation?", Proceedings of the Royal Society of Medicine, 58(5), pp.295~300 (1965)
- Thun MJ, "Lung cancer occurrence in never-smokers: an analysis of 13 cohorts and 22 cancer registry studies", PLoS Medicine, 5(9), pp.e185~ (2008)
- Ando M, "Attributable and absolute risk of lung cancer death by smoking status: findings from the Japan Collaborative Cohort Study", International Journal of Cancer, 105(2), pp.249~254 (2003)
- Wang JB, "Estimation of cancer incidence and mortality attributable to smoking in China", Cancer Causes & Control, 21(6), pp.959~965 (2010)
- Investigation of actual health expenditure condition of health insured patients in 2012, "Seo NK", Health Insurance Policy Institute policy report of the National Health Insurance Service, 33~ (2013)
- A Study on Assumption Method of Medical Expenditure Scale Pertaining to Disease Type and Socioeconomic Factors, "Seo NK", Health Insurance Policy Institute, the National Health Insurance Service, 90~91 (2013)
- Jee SH, "Harmful effects and estimation on medical cost of smoking", Health Insurance Policy Forum, the National Health Insurance Service, pp.3~4 (2013)