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KMID : 1044520190820010027
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Tuberculosis and Respiratory Diseases
2019 Volume.82 No. 1 p.27 ~ p.34
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Direct and Indirect Costs of Chronic Obstructive Pulmonary Disease in Korea
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Kim Chang-Hwan
Kim Youn-hee
Yang Dong-Wook
Rhee Chin-Kook
Kim Sung-Kyoung
Hwang Yong-Il
Park Yong-Bum
Lee Young-Mok
Jin Seong-Lim
Park Jin-Kyeong
Hahm Cho-Rom
Park Chang-Han
Park So-Yeon
Jung Cheol-Kweon
Kim Yu-Il
Lee Sang-Haak
Yoon Hyoung-Kyu
Lee Jin-Hwa
Lim Seong-Yong
Yoo Kwang-Ha
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Abstract
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Background: Understanding the burden of disease is important to establish cost-effective treatment strategies and to allocate healthcare resources appropriately. However, little reliable information is available regarding the overall economic burden imposed by chronic obstructive pulmonary disease (COPD) in Korea.
Methods: This study is a multicenter observational research on the COPD burden in Korea. Total COPD costs were comprised of three categories: direct medical, direct non-medical, and indirect costs. For direct medical costs, institutional investigation was performed at 13 medical facilities mainly based on the claims data. For direct non-medical and indirect costs, site-based surveys were administered to the COPD patients during routine visits. Total costs were estimated using the COPD population defined in the recent report.
Results: The estimated total costs were approximately 1,245 million US dollar (1,408 billion Korean won). Direct medical costs comprised approximately 20% of the total estimated costs. Of these, formal medical costs held more than 80%. As direct non-medical costs, nursing costs made up the largest percentage (39%) of the total estimated costs. Costs for COPD-related loss of productivity formed four fifths of indirect costs, and accounted for up to 33% of the total costs.
Conclusion: This study shows for the first time the direct and indirect costs of COPD in Korea. The total costs were enormous, and the costs of nursing and lost productivity comprised approximately 70% of total costs. The results provide insight for an effective allocation of healthcare resources and to inform establishment of strategies to reduce national burden of COPD.
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KEYWORD
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Pulmonary Disease, Chronic Obstructive, Health Care Costs, Korea
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