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The socioeconomic burden of coronary heart disease in Korea

Authors
 Hoo-Sun Chang  ;  Han-Joong Kim  ;  Chung-Mo Nam  ;  Seung-Ji Lim  ;  Young-Hwa Jang  ;  Sera Kim  ;  Hye-Young Kang 
Citation
 Journal of Preventive Medicine and Public Health, Vol.45(5) : 291-300, 2012 
Journal Title
Journal of Preventive Medicine and Public Health
ISSN
 1975-8375 
Issue Date
2012
MeSH
Adult ; Age Factors ; Aged ; Aged, 80 and over ; Angina Pectoris/economics ; Angina Pectoris/epidemiology ; Coronary Disease/economics* ; Coronary Disease/epidemiology ; Cost of Illness* ; Female ; Health Care Costs/statistics & numerical data ; Humans ; Insurance, Health/statistics & numerical data ; Male ; Middle Aged ; Myocardial Infarction/economics ; Myocardial Infarction/epidemiology ; Prevalence ; Republic of Korea/epidemiology ; Sex Factors ; Socioeconomic Factors ; Young Adult
Keywords
Angina ; Coronary disease ; Cost of illness ; Insurance claim ; Myocardial infarction
Abstract
OBJECTIVES: We aimed to estimate the annual socioeconomic burden of coronary heart disease (CHD) in Korea in 2005, using the National Health Insurance (NHI) claims data.

METHODS: A prevalence-based, top-down, cost-of-treatment method was used to assess the direct and indirect costs of CHD (International Classification of Diseases, 10th revision codes of I20-I25), angina pectoris (I20), and myocardial infarction (MI, I21-I23) from a societal perspective.

RESULTS: Estimated national spending on CHD in 2005 was $2.52 billion. The majority of the spending was attributable to medical costs (53.3%), followed by productivity loss due to morbidity and premature death (33.6%), transportation (8.1%), and informal caregiver costs (4.9%). While medical cost was the predominant cost attribute in treating angina (74.3% of the total cost), premature death was the largest cost attribute for patients with MI (66.9%). Annual per-capita cost of treating MI, excluding premature death cost, was $3183, which is about 2 times higher than the cost for angina ($1556).

CONCLUSIONS: The total insurance-covered medical cost ($1.13 billion) of CHD accounted for approximately 6.02% of the total annual NHI expenditure. These findings suggest that the current burden of CHD on society is tremendous and that more effective prevention strategies are required in Korea.
Files in This Item:
T201203717.pdf Download
DOI
23091654
Appears in Collections:
6. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Nam, Chung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
Chang, Hoo Sun(장후선)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91062
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