질병의 사회·경제적 비용 추계
The Socioeconomic Cost of Diseases in Korea
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참고문헌
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초록
Objectives : The aim of the study was to estimate the annual socioeconomic cost of diseases in Korea. Methods : We estimate both the direct and indirect costs of diseases in Korea during 2003 using a prevalence-based approach. The direct cost estimates included medical expenditures, traffic costs and caregiver's cost, and the indirect costs, representing the loss of production, included lost workdays due to illness and lost earnings due to premature death, which were estimated based on the human capital theory. The cost estimates were reported at three different discount rates (0, 3 and 5%). Results : The cost of diseases in Korea during 2003 was 38.4 trillion won based on 0% discount rate. This estimate represents approximately 5.3% of GDP. The direct and indirect costs were estimated to be 22.5 trillion (58.5% of total cost) and 15.9 trillion won (41.5%), respectively. It was also found that the cost for those aged 40~49 accounted for the largest proportion (21.7%) in relation to age groups. The cost of diseases for males was 23.5% higher than that for females. For major diseases, the total socioeconomic costs were 16.0, 13.4, 11.3 and 11.19% for neoplasms, and diseases of the digestive, respiratory and circulatory systems, respectively. Conclusions : This study can be expected to provide valuable information for determining intervention and funding priorities, and for planning health policies.
Abstract
Objectives : The aim of the study was to estimate the annual socioeconomic cost of diseases in Korea. Methods : We estimate both the direct and indirect costs of diseases in Korea during 2003 using a prevalence-based approach. The direct cost estimates included medical expenditures, traffic costs and caregiver's cost, and the indirect costs, representing the loss of production, included lost workdays due to illness and lost earnings due to premature death, which were estimated based on the human capital theory. The cost estimates were reported at three different discount rates (0, 3 and 5%). Results : The cost of diseases in Korea during 2003 was 38.4 trillion won based on 0% discount rate. This estimate represents approximately 5.3% of GDP. The direct and indirect costs were estimated to be 22.5 trillion (58.5% of total cost) and 15.9 trillion won (41.5%), respectively. It was also found that the cost for those aged 40~49 accounted for the largest proportion (21.7%) in relation to age groups. The cost of diseases for males was 23.5% higher than that for females. For major diseases, the total socioeconomic costs were 16.0, 13.4, 11.3 and 11.19% for neoplasms, and diseases of the digestive, respiratory and circulatory systems, respectively. Conclusions : This study can be expected to provide valuable information for determining intervention and funding priorities, and for planning health policies.
참고문헌 (25)
- Fuchs, V. R, "The contribution of health services to the american economy", Milbank Mem Fund Q, 44(4), pp.65~103 (1966)
- Malaney, P, "Micro-economic Approaches to Evaluation the Burden of Malaria"
- Colditz, G. A, "Economic costs of obesity", Am J Clin Nutr, 55(2), pp.503~507 (1992)
- Wigle, D. T, "Economic burden of illness in Canada. 1986", Chronic Dis Can, 12(13), pp.1~37 (1991)
- Moore, R, "Economic Burden of Illness in Canada. 1993" (1997), Ottawa:Canadian Public Health Association
- Health Canada, "Economic Burden of Illness in Canada. 1998" (2002), Health Canada, Ottawa
- Jung, Y. H, "Estimating socioeconomic costs of five major diseases", Korean Public Finance, 18(2), pp.77~104 (2004)
- Kim, H. J, "Analysis of socioeconomic costs of smoking in Korea", Korean J Prev Med, 34(3), pp.183~190 (2001)
- Park, T. K, "Study on the economic costs of smoking in Korea", Korean Public Econ, 5(2), pp.167~195 (2000)
- Jeong, B. G, "Socioeconomic costs of obesity for Korean adults", Korean J Prev Med, 35(1), pp.1~12 (2002)
- No, I. C, "Socioeconomic Costs of Alcohol and Policy Issues" (1997), Korea Institute for Health and Social Affairs
- Rice, D. P, "The economic costs of the health effects of smoking, 1984", Milbank Q, 64(4), pp.489~547 (1986)
- Kenkel, D, "Cost of Illness Approach (in Valuing Health for Policy: an Economic Approach)", pp.42~71 (1994), Chicago,IL. University of Chicago Press
- National Health Insurance Corporation, "2003 National Health Insurance Statistical Yearbook" (2004)
- National Health Insurance Corporation, "2003 Medical Aid Statistical Yearbook" (2004)
- Lee, J. K, "Analysis of out-of-pocket payment in national health insurance", health insurance forum, pp.51~72 (2002), National Health Insurance Corporation
- Korea Institute for Health and Social Affairs·Ministry of Health and Welfare, "2001 National Health and Nutrition Survey" (2002)
- Koopmanschap, M. A, "Towards a new approach for estimating indirect cost of disease", Soc Sci Med, 34(9), pp.1005~1010 (1992)
- Koopmanschap, M. A, "Indirect costs in economic studies: confronting the confusion", Pharmacoeconomics, 4(6), pp.446~454 (1993)
- Koopmanschap, M. A, "The friction cost method of measuring the indirect costs of disease", J Health Econ, 14(2), pp.171~189 (1995)
- Road Traffic Authority, "Estimating and Evaluating Social Costs of Traffic Accident" (2001)
- Ministry of Labor, "Survey Report on Wage Structure" (2004)
- Smith, D, "The Practice of Discounting Economic Evaluation of Health Care Interventions" (2000)
- Reilly, M. C, "The validity and reproducibility of a work productivity and activity impairment instrument", Pharmacoeconomics, 4(5), pp.353~365 (1993)
- Roijen, L. van, "Labour and health status in economic evaluation of health care", Int J Technol Assess Health Care, 12(3), pp.405~415 (1996)