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The socioeconomic burden of coronary heart disease in Korea

Title
 The socioeconomic burden of coronary heart disease in Korea
Authors
 Hoo-Sun Chang; Han-Joong Kim; Hye-Young Kang; Sera Kim; Young-Hwa Jang; Seung-Ji Lim; Chung-Mo Nam
Issue Date
2012
Journal Title
 Journal of Preventive Medicine & Public Health
ISSN
 1975-8375
Citation
 Journal of Preventive Medicine & Public Health, Vol.45(5) : 291~300, 2012
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/91062
DOI
10.3961/jpmph.2012.45.5.291
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Preventive Medicine
Yonsei Authors
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