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건강보험 청구자료를 이용한 우리나라 뇌졸중 환자의 사회경제적 비용 추계

Other Titles
 Socioeconomic Costs of Stroke in Korea: Estimated from the Korea National Health Insurance Claims Database 
Authors
 임승지  ;  김한중  ;  남정모  ;  장후선  ;  장영화  ;  김세라  ;  강혜영 
Citation
 Journal of Preventive Medicine and Public Health, Vol.42(4) : 251-260, 2009 
Journal Title
Journal of Preventive Medicine and Public Health
ISSN
 2545-5985 
Issue Date
2009
MeSH
Adult ; Aged ; Aged, 80 and over ; Female ; Health Care Costs* ; Health Expenditures* ; Humans ; Insurance Claim Review ; Korea ; Male ; Middle Aged ; Prevalence ; Socioeconomic Factors ; Stroke/economics* ; Young Adult
Keywords
Cost of illness ; Costs ; Illness burden ; Prevention ; Stroke
Abstract
Objectives : To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods : We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients and caregivers productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. Results : A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. the total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. the per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. the total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. Conclusions : Stroke is a leading public health problem in Korea in terms of the economic burden. the indirect costs were identified as the largest component of the overall cost.
Files in This Item:
T200903476.pdf Download
DOI
10.3961/jpmph.2009.42.4.251
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Han Joong(김한중)
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/22282913/105070
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