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KMID : 0371020120450050291
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Journal of Preventive Medicine and Public Health
2012 Volume.45 No. 5 p.291 ~ p.300
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The Socioeconomic Burden of Coronary Heart Disease in Korea
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Chang Hoo-Sun
Kim Han-Joong
Nam Chung-Mo
Lim Seung-Ji
Jang Young-Hwa
Kim Se-Ra
Kang Hye-Young
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Abstract
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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.
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KEYWORD
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Angina, Coronary disease, Cost of illness, Insurance claim, Myocardial infarction
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