Journal of Preventive Medicine and Public Health

Brief Report

Determinants of Hospital Inpatient Costs in the Iranian Elderly: A Micro-costing Analysis: Ebrahim Hazrati, zahra Meshkani, Saeed Husseini Barghazan, Sanaz Zargar Balaye Jame, Nader Markazi-Moghaddam; J Prev Med Public Health. 2020;53(3):205-210. Published online May 16, 2020; DOI: https://doi.org/10.3961/jpmph.19.250

3,837 View
159 Download

Abstract PDF: Objectives
Aging is assumed to be accompanied by greater health care expenditures. The objective of this retrospective, bottom-up micro-costing study was to identify and analyze the variables related to increased health care costs for the elderly from the provider’s perspective.
Methods
The analysis included all elderly inpatients who were admitted in 2017 to a hospital in Tehran, Iran. In total, 1288 patients were included. The Mann-Whitney and Kruskal-Wallis tests were used.
Results
Slightly more than half (51.1%) of patients were males, and 81.9% had a partial recovery. The 60-64 age group had the highest costs. Cancer and joint/orthopedic diseases accounted for the highest proportion of costs, while joint/orthopedic diseases had the highest total costs. The surgery ward had the highest overall cost among the hospital departments, while the intensive care unit had the highest mean cost. No statistically significant relationships were found between inpatient costs and sex or age group, while significant associations (p<0.05) were observed between inpatient costs and the type of ward, length of stay, type of disease, and final status. Regarding final status, costs for patients who died were 3.9 times higher than costs for patients who experienced a partial recovery.
Conclusions
Sex and age group did not affect hospital costs. Instead, the most important factors associated with costs were type of disease (especially chronic diseases, such as joint and orthopedic conditions), length of stay, final status, and type of ward. Surgical services and medicine were the most important cost items.; Summary

Original Articles

Has the Copayment Ceiling Improved Financial Protection in the Korean National Health Insurance System? Evidence From the 2009 Policy Change: Tae-Jin Lee, Chelim Cheong; J Prev Med Public Health. 2017;50(6):393-400. Published online November 9, 2017; DOI: https://doi.org/10.3961/jpmph.17.151

9,399 View
165 Download
5 Crossref

Objectives
To relieve the financial burden faced by households, the Korean National Health Insurance (NHI) system introduced a “copayment ceiling,” which evolved into a differential ceiling in 2009, with the copayment ceiling depending on patients’ income. This study aimed to examine the effect of the differential copayment ceiling on financial protection and healthcare utilization, particularly focusing on whether its effects varied across different income groups.
Methods
This study obtained data from the Korea Health Panel. The number of households included in the analysis was 6555 in 2008, 5859 in 2009, 5539 in 2010, and 5372 in 2011. To assess the effects of the differential copayment ceiling on utilization, out-of-pocket (OOP) payments, and catastrophic payments, various random-effects models were applied. Utilization was measured as treatment days, while catastrophic payments were defined as OOP payments exceeding 10% of household income. Among the right-hand side variables were the interaction terms of the new policy with income levels, as well as a set of household characteristics.
Results
The differential copayment ceiling contributed to increased utilization regardless of income levels both in all patients and in cancer patients. However, the new policy did not seem to reduce significantly the incidence of catastrophic payments among cancer patients, and even increased the incidence among all patients.
Conclusions
The limited effect of the differential ceiling can be attributed to a high proportion of direct payments for services not covered by the NHI, as well as the relatively small number of households benefiting from the differential ceilings; these considerations warrant a better policy design.

Summary

Citations

Citations to this article as recorded by

Network analysis of stroke systems of care in Korea
Jihoon Kang, Hyunjoo Song, Seong Eun Kim, Jun Yup Kim, Hong-Kyun Park, Yong-Jin Cho, Kyung Bok Lee, Juneyoung Lee, Ji Sung Lee, Ah Rum Choi, Mi Yeon Kang, Philip B Gorelick, Hee-Joon Bae
BMJ Neurology Open.2024; 6(1): e000578. CrossRef
Has South Korea achieved the goals of national health insurance? Trends in financial protection of households between 2011 and 2018
Sujin Kim, Soonman Kwon
Social Science & Medicine.2023; 326: 115929. CrossRef
Cancer care patterns in South Korea: Types of hospital where patients receive care and outcomes using national health insurance claims data
Dong‐Woo Choi, Sun Jung Kim, Seungju Kim, Dong Wook Kim, Wonjeong Jeong, Kyu‐Tae Han
Cancer Medicine.2023; 12(13): 14707. CrossRef
Changes in health care utilization and financial protection after integration of the rural and urban social health insurance schemes in Beijing, China
Zhenyu Shi, Ping He, Dawei Zhu, Feng Lu, Qingyue Meng
BMC Health Services Research.2022;[Epub] CrossRef
News media’s framing of health policy and its implications for government communication: A text mining analysis of news coverage on a policy to expand health insurance coverage in South Korea
Wonkwang Jo, Myoungsoon You
Health Policy.2019; 123(11): 1116. CrossRef

Determinants of Health Care Expenditures and the Contribution of Associated Factors: 16 Cities and Provinces in Korea, 2003-2010: Kimyoung Han, Minho Cho, Kihong Chun; J Prev Med Public Health. 2013;46(6):300-308. Published online November 28, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.6.300

10,888 View
119 Download
19 Crossref

Abstract PDF

Objectives

The purpose of this study was to classify determinants of cost increases into two categories, negotiable factors and non-negotiable factors, in order to identify the determinants of health care expenditure increases and to clarify the contribution of associated factors selected based on a literature review.

Methods

The data in this analysis was from the statistical yearbooks of National Health Insurance Service, the Economic Index from Statistics Korea and regional statistical yearbooks. The unit of analysis was the annual growth rate of variables of 16 cities and provinces from 2003 to 2010. First, multiple regression was used to identify the determinants of health care expenditures. We then used hierarchical multiple regression to calculate the contribution of associated factors. The changes of coefficients (R²) of predictors, which were entered into this analysis step by step based on the empirical evidence of the investigator could explain the contribution of predictors to increased medical cost.

Results

Health spending was mainly associated with the proportion of the elderly population, but the Medicare Economic Index (MEI) showed an inverse association. The contribution of predictors was as follows: the proportion of elderly in the population (22.4%), gross domestic product (GDP) per capita (4.5%), MEI (-12%), and other predictors (less than 1%).

Conclusions

As Baby Boomers enter retirement, an increasing proportion of the population aged 65 and over and the GDP will continue to increase, thus accelerating the inflation of health care expenditures and precipitating a crisis in the health insurance system. Policy makers should consider providing comprehensive health services by an accountable care organization to achieve cost savings while ensuring high-quality care.

Summary

Citations

Citations to this article as recorded by

The Impact of Public Housing Investments on the Economic Development of Provinces: The Case of Turkey (TOKI)
Banu Tantan, Sevkiye Sence Turk
Journal of Urban Planning and Development.2024;[Epub] CrossRef
Yenilenebilir Enerji Tüketimi Sağlık Harcamaları Üzerinde Etkili Mi? AB Ülkeleri Örneği
Dilek Atılgan, Enver Günay
Hitit Sosyal Bilimler Dergisi.2024; 17(1): 39. CrossRef
SAĞLIK HARCAMALARININ BELİRLENMESİNDE SOSYO-EKONOMİK UNSURLARIN ETKİLERİ: TÜRKİYE VE SEÇİLMİŞ AB ÜLKELERİ ÜZERİNE PANEL VERİ ANALİZİ
Seyhan TAŞ, Dilek ATILGAN
Journal of Economics and Research.2023; 4(2): 47. CrossRef
The Granger Causality Between Health Expenditure and Gross Domestic Product in OECD Countries
Gülnur İlgün, Murat Konca, Seda Sönmez
Journal of Health Management.2022; 24(3): 356. CrossRef
Health expenditures, environmental quality, and economic development: State-of-the-art review and findings in the context of COP26
Zhenjiang Xing, Xia Liu
Frontiers in Public Health.2022;[Epub] CrossRef
Systematic review of factors determining health care expenditures
Mohammad Meskarpour Amiri, Mahmood Kazemian, Zahra Motaghed, Zhaleh Abdi
Health Policy and Technology.2021; 10(2): 100498. CrossRef
Determinants of health expenditure from global perspective: A panel data analysis
Muhammad Awais, Alam Khan, Muhammad Salman Ahmad
Liberal Arts and Social Sciences International Journal (LASSIJ).2021; 5(1): 481. CrossRef
An empirical study on the determinants of health care expenses in emerging economies
Lulin Zhou, Sabina Ampon-Wireko, Henry Asante Antwi, Xinglong Xu, Muhammad Salman, Maxwell Opuni Antwi, Tordzro Mary Norvienyo Afua
BMC Health Services Research.2020;[Epub] CrossRef
Association between Primary Healthcare and Medical Expenditures in a Context of Hospital-Oriented Healthcare System in China: A National Panel Dataset, 2012–2016
Mengping Zhou, Jingyi Liao, Nan Hu, Li Kuang
International Journal of Environmental Research and Public Health.2020; 17(18): 6917. CrossRef
Differentiation in Healthcare Financing in EU Countries
Tomasz Rokicki, Aleksandra Perkowska, Marcin Ratajczak
Sustainability.2020; 13(1): 251. CrossRef
GDP Growth and Health Care Expenditures Worldwide
Milos Stepovic
The Open Pharmacoeconomics & Health Economics Journal.2019; 7(1): 9. CrossRef
GDP Growth and Health Care Expenditures Worldwide
Milos Stepovic
The Open Pharmacoeconomics & Health Economics Journal.2019; 7(1): 21. CrossRef
Effect of Work on Medical Expenditures by Elderly: Findings From the Korean Health Panel 2008–2013
Min Kyung Hyun
Safety and Health at Work.2018; 9(4): 462. CrossRef
Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data
Jee-Ae Kim, Seokjun Yoon, Log-Young Kim, Dong-Sook Kim
Journal of Korean Medical Science.2017; 32(5): 718. CrossRef
Population Aging and Healthcare Expenditure in Korea
Kyung‐Rae Hyun, Sungwook Kang, Sunmi Lee
Health Economics.2016; 25(10): 1239. CrossRef
Do health care workforce, population, and service provision significantly contribute to the total health expenditure? An econometric analysis of Serbia
M. Santric-Milicevic, V. Vasic, Z. Terzic-Supic
Human Resources for Health.2016;[Epub] CrossRef
The failure of gastroenterologists to apply intestinal ultrasound in inflammatory bowel disease in the Asia‐Pacific: A need for action
Anil Kumar Asthana, Antony B Friedman, Giovanni Maconi, Christian Maaser, Torsten Kucharzik, Mamoru Watanabe, Peter R Gibson
Journal of Gastroenterology and Hepatology.2015; 30(3): 446. CrossRef
Economic Burden of Diabetes Mellitus on Patients with Respiratory Failure Requiring Mechanical Ventilation during Hospitalizations
Wei-Erh Cheng, Li-Ting Su, Shuo-Chueh Chen, Tsai-Chung Li, Hsiang-Wen Lin
Value in Health Regional Issues.2014; 3: 33. CrossRef
Changes in the epidemiology and burden of community-acquired pneumonia in Korea
Hyoung Kyu Yoon
The Korean Journal of Internal Medicine.2014; 29(6): 735. CrossRef

Use of Drug-eluting Stents Versus Bare-metal Stents in Korea: A Cost-minimization Analysis Using Population Data: Hae Sun Suh, Hyun Jin Song, Eun Jin Jang, Jung-Sun Kim, Donghoon Choi, Sang Moo Lee; J Prev Med Public Health. 2013;46(4):201-209. Published online July 31, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.4.201

8,427 View
82 Download
1 Crossref

Abstract PDF

Objectives

The goal of this study was to perform an economic analysis of a primary stenting with drug-eluting stents (DES) compared with bare-metal stents (BMS) in patients with acute myocardial infarction (AMI) admitted through an emergency room (ER) visit in Korea using population-based data.

Methods

We employed a cost-minimization method using a decision analytic model with a two-year time period. Model probabilities and costs were obtained from a published systematic review and population-based data from which a retrospective database analysis of the national reimbursement database of Health Insurance Review and Assessment covering 2006 through 2010 was performed. Uncertainty was evaluated using one-way sensitivity analyses and probabilistic sensitivity analyses.

Results

Among 513 979 cases with AMI during 2007 and 2008, 24 742 cases underwent stenting procedures and 20 320 patients admitted through an ER visit with primary stenting were identified in the base model. The transition probabilities of DES-to-DES, DES-to-BMS, DES-to-coronary artery bypass graft, and DES-to-balloon were 59.7%, 0.6%, 4.3%, and 35.3%, respectively, among these patients. The average two-year costs of DES and BMS in 2011 Korean won were 11 065 528 won/person and 9 647 647 won/person, respectively. DES resulted in higher costs than BMS by 1 417 882 won/person. The model was highly sensitive to the probability and costs of having no revascularization.

Conclusions

Primary stenting with BMS for AMI with an ER visit was shown to be a cost-saving procedure compared with DES in Korea. Caution is needed when applying this finding to patients with a higher level of severity in health status.

Summary

Citations

Citations to this article as recorded by

A cost analysis comparing telepsychiatry to in-person psychiatric outreach and patient travel reimbursement in Northern Ontario communities
Eva Serhal, Tanya Lazor, Paul Kurdyak, Allison Crawford, Claire de Oliveira, Rebecca Hancock-Howard, Peter C Coyte
Journal of Telemedicine and Telecare.2020; 26(10): 607. CrossRef

English Abstracts

Estimating the Socioeconomic Costs of Alcohol Drinking Among Adolescents in Korea.: Jaeyeun Kim, Woojin Chung, Sunmi Lee, Chongyon Park; J Prev Med Public Health. 2010;43(4):341-351.; DOI: https://doi.org/10.3961/jpmph.2010.43.4.341

5,853 View
95 Download
13 Crossref

Abstract PDF

OBJECTIVES
The purpose of this study was to estimate the socioeconomic costs resulting from alcohol drinking among adolescents as of 2006 from a societal perspective. METHODS: The costs were classified into direct costs, indirect costs, and other costs. The direct costs consisted of direct medical costs and direct non-medical costs. The indirect costs were computed by future income losses from premature death, productivity losses from using medical services and reduction of productivity from drinking and hangover. The other costs consisted of property damage, public administrative expenses, and traffic accident compensation. RESULTS: The socioeconomic costs of alcohol drinking among adolescents as of 2006 were estimated to be 387.5 billion won (0.05% of GDP). In the case of the former, the amount included 48.25% for reduction of productivity from drinking and hangover, 39.38% for future income losses from premature death, and 6.71% for hangover costs. CONCLUSIONS: The results showed that the socioeconomic costs of alcohol drinking among adolescents in Korea were a serious as compared with that of the United States. Therefore, the active interventions such as a surveillance system and a prevention program to control adolescents drinking by government and preventive medicine specialist are needed.

Summary

Citations

Citations to this article as recorded by

Disparity between Subjective Health Perception and Lifestyle Practices among Korean Adolescents: A National Representative Sample
Aniceto Echalico Braza, Jinsoo Jason Kim, Sun Hee Kim
Journal of Lifestyle Medicine.2022; 12(3): 153. CrossRef
Maternal working hours and smoking and drinking in adolescent children: based on the Korean National Health and Nutrition Examination Survey VI and VII
Tae-Hwi Park, Yong-Duk Ahn, Jeong-Bae Rhie
Annals of Occupational and Environmental Medicine.2021;[Epub] CrossRef
Impact of Public Health Policies on Alcohol‐Associated Liver Disease in Latin America: An Ecological Multinational Study
Luis Antonio Díaz, Francisco Idalsoaga, Eduardo Fuentes‐López, Andrea Márquez‐Lomas, Carolina A. Ramírez, Juan Pablo Roblero, Roberta C. Araujo, Fátima Higuera‐de‐la‐Tijera, Luis Guillermo Toro, Galo Pazmiño, Pedro Montes, Nelia Hernandez, Manuel Mendizab
Hepatology.2021; 74(5): 2478. CrossRef
Economic burden of alcohol-related cancers in the Republic of Korea
Minji Han, Binh Thang Tran, Heeyoun Cho, Jin-Kyoung Oh
Drug and Alcohol Dependence.2020; 217: 108295. CrossRef
An Item Response Theory Analysis of the Korean Version of the CRAFFT Scale for Alcohol Use Among Adolescents in Korea
Youngshin Song, Hyerang Kim, So-Youn Park
Asian Nursing Research.2019; 13(4): 249. CrossRef
Development of Addiction Prevention Care Program for Nurses
Sungjae Kim, Se-Jin Joo, Young Ok Song, Jin-Gyung Cha, Jeongwoon Yang
STRESS.2019; 27(4): 389. CrossRef
Characteristics of sauna deaths in Korea in relation to different blood alcohol concentrations
Kyung-Moo Yang, Bong-Woo Lee, Jaeseong Oh, Seong Ho Yoo
Forensic Science, Medicine and Pathology.2018; 14(3): 307. CrossRef
High prevalence of sarcopenia among binge drinking elderly women: a nationwide population-based study
Jun-Il Yoo, Yong-Chan Ha, Young-Kyun Lee, Hana-Choi, Moon-Jib Yoo, Kyung-Hoi Koo
BMC Geriatrics.2017;[Epub] CrossRef
An effective hangover treatment: Friend or foe?
Marlou Mackus, Marith van Schrojenstein Lantman, Aurora JAE van de Loo, David Nutt, Joris C Verster
Drug Science, Policy and Law.2017; 3: 205032451774103. CrossRef
Does the Severity of Hangovers Decline with Age? Survey of the Incidence of Hangover in Different Age Groups
Janne S. Tolstrup, Richard Stephens, Morten Grønbaek
Alcoholism: Clinical and Experimental Research.2014; 38(2): 466. CrossRef
The economic burden of the 2009 pandemic H1N1 influenza in Korea
Yang-Woo Kim, Seok-Jun Yoon, In-Hwan Oh
Scandinavian Journal of Infectious Diseases.2013; 45(5): 390. CrossRef
Consumer Satisfaction and Efficacy of the Hangover Cure After-Effect©
J. C. Verster, O. Berthélemy
Advances in Preventive Medicine.2012; 2012: 1. CrossRef
Moderate drinking and motivational enhancement therapy
Kang-Sook Lee
Journal of the Korean Medical Association.2011; 54(10): 1047. CrossRef

Socioeconomic Costs of Stroke in Korea: Estimated from the Korea National Health Insurance Claims Database.: Seung ji Lim, Han joong Kim, Chung mo Nam, Hoo sun Chang, Young Hwa Jang, Sera Kim, Hye Young Kang; J Prev Med Public Health. 2009;42(4):251-260.; DOI: https://doi.org/10.3961/jpmph.2009.42.4.251

7,108 View
144 Download
42 Crossref

Abstract PDF

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.

Summary

Citations

Citations to this article as recorded by

Healthcare expenditure trends among adult stroke patients in the United States, 2011-2020
Venkataraghavan Ramamoorthy, Kelvin Chan, Mukesh Roy, Anshul Saxena, Md Ashfaq Ahmed, Zhenwei Zhang, Sandeep Appunni, Ronnie Thomas, Peter McGranaghan, Michael McDermott, Felipe De Los Rios La Rosa, Muni Rubens
Journal of Stroke and Cerebrovascular Diseases.2023; 32(10): 107333. CrossRef
Meta-analysis of risk factors associated with suicidal ideation after stroke
Shuangmei Zhang, Anrong Wang, Weifeng Zhu, Zhaoyang Qiu, Zhaoxu Zhang
Annals of General Psychiatry.2022;[Epub] CrossRef
Associations of stroke with all-cause and cause-specific mortality: A population-based matched cohort study
Juyeong Kim, Eun-Cheol Park
Journal of Public Health.2022;[Epub] CrossRef
Association between Stroke and Abdominal Obesity in the Middle-Aged and Elderly Korean Population: KNHANES Data from 2011–2019
Jong Yeon Kim, Sung Min Cho, Youngmin Yoo, Taesic Lee, Jong Koo Kim
International Journal of Environmental Research and Public Health.2022; 19(10): 6140. CrossRef
The risk for future cerebrovascular disease in pregnant women with Moyamoya disease: a nationwide population-based study in South Korea
Yeonseong Jeong, Yun Ji Jung, Eunjin Noh, Sungyeon Ha, Jeongeun Hwang, Geum Joon Cho, Min-Jeong Oh, Young-Han Kim
BMC Pregnancy and Childbirth.2022;[Epub] CrossRef
National Trends in Medical Costs and Prognosis of Acute Ischemic Stroke Patients in Endovascular Thrombectomy Era: Analysis Using Medical Claim Data in Korea
Woo Sang Jung, Kwon-Duk Seo, Sang Hyun Suh
Neurointervention.2022; 17(3): 152. CrossRef
Relationship between Obsessive-compulsive Disorder and Overactive Bladder Syndrome
Farzad Allameh, Mahtab Motamed, Mohammad Poury, Ali Tayyebiazar, Saleh Ghiasy, Morteza Fallah-Karkan, Saba Faraji, Seyyed Ali Hojjati
Iranian Journal of Psychiatry and Behavioral Sciences.2021;[Epub] CrossRef
Prevalence and socioeconomic burden of diabetes mellitus in South Korean adults: a population-based study using administrative data
Sung-Hee Oh, Hyemin Ku, Kang Seo Park
BMC Public Health.2021;[Epub] CrossRef
The economic burden of chronic diseases: Estimates and projections for China, Japan, and South Korea
David E. Bloom, Simiao Chen, Michael Kuhn, Mark E. McGovern, Les Oxley, Klaus Prettner
The Journal of the Economics of Ageing.2020; 17: 100163. CrossRef
Predictive costs in medical care for Koreans with metabolic syndrome from 2009 to 2013 based on the National Health Insurance claims dataset
Jeong Seon Yoo, Eun Yeong Choe, Yoo Mee Kim, Se Hwa Kim, Young Jun Won
The Korean Journal of Internal Medicine.2020; 35(4): 936. CrossRef
Lifetime risks and health impacts of hemorrhagic and ischemic stroke in South Korea
Soyeon Cheon, Hyangsook Lee, Jiyoon Won, Bo-Hyoung Jang, Jung-Der Wang
Scientific Reports.2020;[Epub] CrossRef
Comparative Study on the Outcome of Stroke Patients Transferred by Doctor Helicopters and Ground Ambulances in South Korea: A Retrospective Controlled Study
Jeong Il Lee, Kang Hyun Lee, Oh Hyun Kim, Roberto Cirocchi
Emergency Medicine International.2020; 2020: 1. CrossRef
Propensity score matching analysis on inpatient period differences of hemorrhagic stroke survivors depending on medical insurance coverage
Sang-Mi Kim, Young Kim, Seong-A Lee
Physical Therapy Rehabilitation Science.2019; 8(2): 67. CrossRef
Socioeconomic Costs of Age-related Macular Degeneration in Korea
Yongsun Ahn, Donghyun Jee
Journal of the Korean Ophthalmological Society.2019; 60(8): 765. CrossRef
Disability Measurement for Korean Community-Dwelling Adults With Stroke: Item-Level Psychometric Analysis of the Korean Longitudinal Study of Ageing
Ickpyo Hong, Young Joo Kim, Mandi L. Sonnenfeld, Emily Grattan, Timothy A. Reistetter
Annals of Rehabilitation Medicine.2018; 42(2): 336. CrossRef
The Economic Burden of Stroke Based on South Korea’s National Health Insurance Claims Database
Yu-Jin Cha
International Journal of Health Policy and Management.2018; 7(10): 904. CrossRef
Changing Disease Trends in the Northern Gyeonggi-do Province of South Korea from 2002 to 2013: A Big Data Study Using National Health Information Database Cohort
Young Soo Kim, Dong-Hee Lee, Hiun Suk Chae, Kyungdo Han
Osong Public Health and Research Perspectives.2018; 9(5): 248. CrossRef
A Nation-Wide Epidemiological Study of Newly Diagnosed Primary Spine Tumor in the Adult Korean Population, 2009-2011
Seil Sohn, Jinhee Kim, Chun Kee Chung, Na Rae Lee, Moon Jun Sohn, Sung Hwan Kim
Journal of Korean Neurosurgical Society.2017; 60(2): 195. CrossRef
Analysis of Total Hospital Charges, Length of Stay, and Cost of Rehabilitation by Hospital and Stroke Type
Sun-Mi Kim, Da-Yang Kim, Kwang-Soo Lee
The Korean Journal of Health Service Management.2017; 11(1): 91. CrossRef
The Economic Burden of Hepatitis A, B, and C in South Korea
Changwoo Shon, Hyung-Yun Choi, Jae-Jun Shim, So-Youn Park, Kyung Suk Lee, Seok-Jun Yoon, In-Hwan Oh
Japanese Journal of Infectious Diseases.2016; 69(1): 18. CrossRef
Validation of Stroke and Thrombolytic Therapy in Korean National Health Insurance Claim Data
Tai Hwan Park, Jay Chol Choi
Journal of Clinical Neurology.2016; 12(1): 42. CrossRef
Suicidal ideation and attempts in patients with stroke: a population-based study
Jae Ho Chung, Jung Bin Kim, Ji Hyun Kim
Journal of Neurology.2016; 263(10): 2032. CrossRef
The Epidemiology and Economic Burden ofClostridium difficileInfection in Korea
Hyung-Yun Choi, So-Youn Park, Young-Ae Kim, Tai-Young Yoon, Joong-Myung Choi, Bong-Keun Choe, So-Hee Ahn, Seok-Jun Yoon, Ye-Rin Lee, In-Hwan Oh
BioMed Research International.2015; 2015: 1. CrossRef
Antithrombotic treatment for stroke prevention in atrial fibrillation: The Asian agenda
Chen-Huan Chen, Mien-Cheng Chen, Harry Gibbs, Sun U. Kwon, Sidney Lo, Young Keun On, Azhari Rosman, Nijasri C. Suwanwela, Ru San Tan, Louie S. Tirador, Andreas Zirlik
International Journal of Cardiology.2015; 191: 244. CrossRef
Nationwide epidemiology and healthcare utilization of spine tumor patients in the adult Korean population, 2009–2012
Seil Sohn, Jinhee Kim, Chun Kee Chung, Na-Rye Lee, Eunjung Park, Ung-Kyu Chang, Moon Jun Sohn, Sung Hwan Kim
Neuro-Oncology Practice.2015; 2(2): 93. CrossRef
Direct medical cost of stroke in Singapore
Charmaine Shuyu Ng, Matthias Paul Han Sim Toh, Jiaying Ng, Yu Ko
International Journal of Stroke.2015; 10(SA100): 75. CrossRef
Clinical characteristics of patients with treated epilepsy in Korea: A nationwide epidemiologic study
Dong Wook Kim, Seo‐Young Lee, Soo‐Eun Chung, Hae‐Kwan Cheong, Ki‐Young Jung
Epilepsia.2014; 55(1): 67. CrossRef
The association between inhaled long-acting bronchodilators and less in-hospital care in newly-diagnosed COPD patients
Jinhee Kim, Kyungjoo Kim, Yuri Kim, Kwang-Ha Yoo, Chin Kook Lee, Hyoung Kyu Yoon, Young Sam Kim, Young Bum Park, Jin Hwa Lee, Yeon-Mok Oh, Sang-Do Lee, Sei Won Lee
Respiratory Medicine.2014; 108(1): 153. CrossRef
Medical Utilization and Cost in Patients with Overlap Syndrome of Chronic Obstructive Pulmonary Disease and Asthma
Chin Kook Rhee, Hyoung Kyu Yoon, Kwang Ha Yoo, Young Sam Kim, Sei Won Lee, Yong Bum Park, Jin Hwa Lee, Yuri Kim, Kyungjoo Kim, Jinhee Kim, Yeon Mok Oh, Sang Do Lee
COPD: Journal of Chronic Obstructive Pulmonary Disease.2014; 11(2): 163. CrossRef
The costs of hepatitis A infections in South Korea
Kyohyun Kim, Baek-Geun Jeong, Moran Ki, Mira Park, Jin Kyung Park, Bo Youl Choi, Weon-Seob Yoo
Epidemiology and Health.2014; 36: e2014011. CrossRef
The Incidence and Prevalence of Diabetes Mellitus and Related Atherosclerotic Complications in Korea: A National Health Insurance Database Study
Bo Kyung Koo, Chang-Hoon Lee, Bo Ram Yang, Seung-sik Hwang, Nam-Kyong Choi, Mohammad Ebrahim Khamseh
PLoS ONE.2014; 9(10): e110650. CrossRef
Two-Year Direct Medical Costs of Stroke in Korea: A Multi-Centre Incidence-Based Study from Hospital Perspectives
Joung-Ho Rha, Jaseong Koo, Ki Hyun Cho, Eung-Gyu Kim, Gun Sei Oh, Se Jin Lee, Jae Kwan Cha, Jin-Jeong Oh, Gyoung-Rye Ham, Hyun-Soo Seo, Jong S. Kim
International Journal of Stroke.2013; 8(3): 186. CrossRef
Stroke Statistics in Korea: Part I. Epidemiology and Risk Factors: A Report from the Korean Stroke Society and Clinical Research Center for Stroke
Keun-Sik Hong, Oh Young Bang, Dong-Wha Kang, Kyung-Ho Yu, Hee-Joon Bae, Jin Soo Lee, Ji Hoe Heo, Sun U. Kwon, Chang Wan Oh, Byung-Chul Lee, Jong S. Kim, Byung-Woo Yoon
Journal of Stroke.2013; 15(1): 2. CrossRef
The effect of severity of depressive disorder on economic burden in a university hospital in Singapore
Roger CM Ho, Kwok-Kei Mak, Anna NC Chua, Cyrus SH Ho, Anselm Mak
Expert Review of Pharmacoeconomics & Outcomes Research.2013; 13(4): 549. CrossRef
The Socioeconomic Burden of Coronary Heart Disease in Korea
Hoo-Sun Chang, Han-Joong Kim, Chung-Mo Nam, Seung-Ji Lim, Young-Hwa Jang, Sera Kim, Hye-Young Kang
Journal of Preventive Medicine and Public Health.2012; 45(5): 291. CrossRef
Prevalence of Dyslipidemia among Korean Adults: Korea National Health and Nutrition Survey 1998-2005
Myung Ha Lee, Hyeon Chang Kim, Song Vogue Ahn, Nam Wook Hur, Dong Phil Choi, Chang Gyu Park, Il Suh
Diabetes & Metabolism Journal.2012; 36(1): 43. CrossRef
Itemized Hospital Charges for Acute Cerebral Infarction Patients Influenced by Severity in an Academic Medical Center in Korea
Sung Sang Yoon, Hyejung Chang, Young Dae Kwon
Journal of Clinical Neurology.2012; 8(1): 58. CrossRef
The economic burden of stroke in 2010 in Korea
Hyun-Jin Kim, Young-Ae Kim, Hye-Young Seo, Eun-Jung Kim, Seok-Jun Yoon, In-Hwan Oh
Journal of the Korean Medical Association.2012; 55(12): 1226. CrossRef
Prevalence of Treated Epilepsy in Korea Based on National Health Insurance Data
Seo-Young Lee, Ki-Young Jung, Il Keun Lee, Sang Do Yi, Yong Won Cho, Dong Wook Kim, Seung-Sik Hwang, Sejin Kim
Journal of Korean Medical Science.2012; 27(3): 285. CrossRef
The Factors Associated with Good Responses to Speech Therapy Combined with Transcranial Direct Current Stimulation in Post-stroke Aphasic Patients
Il-Young Jung, Jong Youb Lim, Eun Kyoung Kang, Hae Min Sohn, Nam-Jong Paik
Annals of Rehabilitation Medicine.2011; 35(4): 460. CrossRef
How Much Amount of Socioeconomic Loss Is Caused by Digestive Diseases?
Kyung Sik Park
The Korean Journal of Gastroenterology.2011; 58(6): 297. CrossRef
Health Care Costs of Digestive Diseases in Korea
Hye-kyung Jung, BoHyoung Jang, Youn Hee Kim, JooYeon Park, Sun Young Park, Mi-Hee Nam, Myung-Gyu Choi
The Korean Journal of Gastroenterology.2011; 58(6): 323. CrossRef

Costs of Initial Cancer Care and its Affecting Factors.: So Young Kim, Sung Gyeong Kim, Jong Hyock Park, Eun Cheol Park; J Prev Med Public Health. 2009;42(4):243-250.; DOI: https://doi.org/10.3961/jpmph.2009.42.4.243

5,503 View
97 Download
10 Crossref

Abstract PDF

OBJECTIVES
The purposes of this study is to estimate the cost of cancer care after its diagnosis and to identify factors that can influence the cost of cancer care. METHODS: The study subjects were patients with an initial diagnosis one of four selected tumors and had their first two-years of cancer care at a national cancer center. The data were obtained from medical records and patient surveys. We classified cancer care costs into medical and nonmedical costs, and each cost was analyzed for burden type, medical service, and cancer stage according to cancer types. Factors affecting cancer care costs for the initial phase included demographic variables, socioeconomic status and clinical variables. RESULTS: Cancer care costs for the initial year following diagnosis were higher than the costs for the following successive year after diagnosis. Lung cancer (25,648,000 won) had higher costs than the other three cancer types. Of the total costs, patent burden was more than 50% and medical costs accounted for more than 60%. Inpatient costs accounted for more than 60% of the medical costs for stomach and liver cancer in the initial phase. Care for late-stage cancer was more expensive than care for early-stage cancer. Nonmedical costs were estimated to be between 4,500,000 to 6,000,000 won with expenses for the caregiver being the highest. The factors affecting cancer care costs were treatment type and cancer stage. CONCLUSIONS: The cancer care costs after diagnosis are substantial and vary by cancer site, cancer stage and treatment type. It is useful for policy makers and researchers to identify tumor-specific medical and nonmedical costs. The effort to reduce cancer costs and early detection for cancer can reduce the burden to society and improve quality of life for the cancer patients.

Summary

Citations

Citations to this article as recorded by

Projecting Lifetime Health Outcomes and Costs Associated with the Ambient Fine Particulate Matter Exposure among Adult Women in Korea
Gyeyoung Choi, Yujeong Kim, Gyeongseon Shin, SeungJin Bae
International Journal of Environmental Research and Public Health.2022; 19(5): 2494. CrossRef
Expenditure and Financial Burden for Stomach Cancer Diagnosis and Treatment in China: A Multicenter Study
Kai Zhang, Jian Yin, Huiyao Huang, Le Wang, Lanwei Guo, Jufang Shi, Min Dai
Frontiers in Public Health.2020;[Epub] CrossRef
Early Detection is Important to Reduce the Economic Burden of Gastric Cancer
Jie-Hyun Kim, Sung Soo Kim, Jeong Hoon Lee, Da Hyun Jung, Dae Young Cheung, Woo-Chul Chung, Soo-Heon Park
Journal of Gastric Cancer.2018; 18(1): 82. CrossRef
Supporting Low-income Cancer Patients: Recommendations for the Public Financial Aid Program in the Republic of Korea
Hye Sook Min, Hyung Kook Yang, Keeho Park
Cancer Research and Treatment.2018; 50(4): 1074. CrossRef
Modeling lifetime costs and health outcomes attributable to secondhand smoke exposure at home among Korean adult women
Jiyae Lee, Ah Ram Han, Dalwoong Choi, Kyung-Min Lim, SeungJin Bae
BMJ Open.2017; 7(5): e013292. CrossRef
The Relief Effect of Copayment Decreasing Policy on Unmet Needs in Targeted Diseases
Jae-Woo Choi, Jae-Hyun Kim, Eun-Cheol Park
Health Policy and Management.2014; 24(1): 24. CrossRef
Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea
Jae-Woo Choi, Kyoung-Hee Cho, Young Choi, Kyu-Tae Han, Jeoung-A Kwon, Eun-Cheol Park
Asian Pacific Journal of Cancer Prevention.2014; 15(6): 2713. CrossRef
Medicaid inpatient costs and nested structural analysis using a hierarchical linear modeling (HLM) approach
Keon-Hyung Lee, Sang-Chul Park, Jungwon Park, Seunghoo Lim
Health Services and Outcomes Research Methodology.2013; 13(2-4): 157. CrossRef
Costs During the First Five Years Following Cancer Diagnosis in Korea
Ji-Yeon Shin, So Young Kim, Kun-Sei Lee, Sang-Il Lee, Young Ko, Young-Soon Choi, Hong Gwan Seo, Joo-Hyuk Lee, Jong-Hyock Park
Asian Pacific Journal of Cancer Prevention.2012; 13(8): 3767. CrossRef
Cost‐effectiveness of bevacizumab‐based therapy versus cisplatin plus pemetrexed for the first‐line treatment of advanced non‐squamous NSCLC in Korea and Taiwan
Myung‐Ju AHN, Chun‐Ming TSAI, Te‐Chun HSIA, Elaine WRIGHT, John Wen‐Cheng CHANG, Heung Tae KIM, Joo‐Hang KIM, Jin Hyoung KANG, Sang‐We KIM, Eun‐Jin BAE, Mijeong KANG, Johanna LISTER, Stefan WALZER
Asia-Pacific Journal of Clinical Oncology.2011; 7(s2): 22. CrossRef

Original Articles

A Study on the Association between Healthcare Utilization and the Burden of Families Caring for the Elderly in the Last 6 Months of Life.: Jee Jeon Yi, Hee Na Lee, Heechoul Ohrr, Hye Young Jung, Sang Wook Yi; Korean J Prev Med. 2003;36(4):332-338.

2,127 View
22 Download

Abstract PDF: OBJECTIVE
To investigate the relationship between medical expenses and the burden of families caring for the elderly in the last 6 months of life, and to evaluate the factors relating to the burden of family caregivers. METHODS: The families of 301 persons older than 65 years, who died between 1 July and 31 December 2001, and were registered in Resident-based- Health Insurance Programs in Seoul, were interviewed. The medical expenses and length of stay among the elderly were collected from Korean Health Insurance Corporations. RESULTS: 31 percents of the elderly had no medical expenses in the last 6 months of life. On average, the objective burden (4.92) was higher than the subjective burden (3.35). Families caring for male elderly had a higher burden. With increasing age at death, the objective burden was significantly increased. The burden on a family seemed to be influenced more by the family income than the property of the elderly. With increasing total health care costs, the objective burden on the family caregivers was significantly increased, but with increasing medical expenses, the subjective burden was significantly decreased. CONCLUSION: An association between healthcare utilization and burden on families was observed. The reason for the decreasing subjective burden when medical expenses were decreased was unclear. Further research will be needed.; Summary

Annual Visit Days, Prescription Days and Medical Expenses of Hypertensive Patients.: Bu Dol Lim, Byung Yeol Chun, Sin Kam, Jeong Soo Im, Soon Woo Park, Jung Han Park; Korean J Prev Med. 2002;35(4):340-350.

42,291 View
58 Download

Abstract PDF: OBJECTIVES
To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients. METHODS: The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed. RESUJLTS: The proportion of the most proper medical care pattern group (Group VIII) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group IX) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group VIII+IX) was therefore 15.5%. The proportion of the insufficient care group (Group I,IV) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group VIII) was 29 days; the mean annual medical expenses, 453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group VIII+IX) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group was highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%). CONCLUSIONS: The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.; Summary

Socioeconomic Costs of Obesity for Korean Adults.: Baek Geun Jeong, Ok Ryun Moon, Nam Soon Kim, Jae Heon Kang, Tae Ho Yoon, Sang Yi Lee, Sin Jae Lee; Korean J Prev Med. 2002;35(1):1-12.

2,529 View
51 Download

Abstract PDF: OBJECTIVE
To estimate the socioeconomic costs of obesity in Korea, 1998. METHODS: The 1998 National Health and Nutrition Examination Survey (1998 NHNES) data was used and 10,880 persons who had taken health examinations were selected for study. Essential hypertension, NIDDM (non insulin-dependent diabetes mellitus), dyslipidemia, osteoarthritis, coronary heart disease, stroke were included as obesity related disease. The data of direct costs of obesity was obtained from the National Federation of Medical Insurance. The category of indirect costs was the loss of productivity caused by premature death and admission, time costs, traffic costs, nursing fees due to obesity. Multiple logistic regression model was developed to estimate prevalence odds ratio by obesity class adjusted demographic and socio-ecnomic factors and calculate PAF (Population Attributable Fraction) of obesity on obesity related disease. And we finally calculated the socioeconomic costs of obesity in relation to BMI with PAF. RESULTS: The direct costs of obesity were 2,126 billion~965 billion Won in considering out of pocket payment to uninsured services, and the indirect costs of obesity were 2,099 billion~1,086 billion Won. Consequently, in considering out of pocket payment to uninsured services, the socioeconomic costs of obesity were 4,225 billion~2,050 billion Won, which corresponded to about 0.094% ~0.046% of GDP and 1.88%~0.91 of total health care costs in Korea. CONCLUSIONS: Obesity represents a major health problem with significant economic implications for the society. This results are conservative estimates as far as all obesity related disease and all health care and indirect costs were not included due to missing information. Further studies are needed to caculate socioeconomic costs of obesity more exactly.; Summary

Analysis of Socioeconomic Costs of Smoking in Korea.: Han Joong Kim, Tae Kyu Park, Sun Ha Jee, Hye Young Kang, Chung Mo Nam; Korean J Prev Med. 2001;34(3):183-190.

2,420 View
52 Download

Abstract PDF: OBJECTIVE
To estimate the annual economic costs attributable to cigarette smoking in Korea. METHODS: The costs were classified as being direct medical and non-medical costs, indirect costs and others. We focused on those costs related that are incurred in the treatment of selected diseases (cardiovascular diseases, respiratory diseases, and cancers), which have been proven to be caused by smoking. In addition to the basic costs of treatment, the additional amount of costs occurred due to smoking was obtained by computing the population attributable risk (PAR%) caused by smoking. To compute the PAR%, relative risks of smoking to the number of outpatient visits, hospitalizations, and the death were estimated using the Cox proportional hazard model, respectively. Our major data source was the 'Korea Medical Insurance Corporation (KMIC) cohort study,' which was composed of a total of 115,682 male and 67,932 female beneficiaries who had complete records of their smoking histories in the year of 1992. RESULTS: The annual costs that could be attributable to smoking were estimated to be in the range of 2,847,500 million Won to 3,959,100 million Won. The maximum estimate of 3,959,100 million Won includes 233,100 million Won for medical costs, 5,100 million Won for transportation costs, 27,600 million Won for care giver's economic costs, 69,100 million Won in productivity loss, 3,435,000 million Won lost because of premature death, 172,100 million Won in costs resulting from passive smoke inhalation and 17,100 million Won for costs that resulted from fires that were caused by careless smoking. CONCLUSION: Our study confirms that the magnitude of the economic burden of smoking to Korean society is substantial. Therefore, this study provides strong evidence that there is a strong need for a national policy of tobacco control in Korea.; Summary

English Abstracts

Socioeconomic Costs of Alcohol Drinking in Korea.: Woo Jin Chung, Hyun Jun Chun, Sun Mi Lee; J Prev Med Public Health. 2006;39(1):21-29.

2,756 View
101 Download

Abstract PDF: OBJECTIVES
We wanted to estimate the annual socioeconomic costs of alcohol drinking in Korea. METHODS: The costs were classified as direct costs, indirect costs and the other costs. The direct costs consisted of direct medical costs, indirect medical costs and subsidiary medical costs. Particularly, the medical costs and population attributable fraction for disease were considered to reflect the calculation of the direct medical costs. The indirect costs were computed by the extent to which the loss of productivity and loss of the workforce might have occurred due to changes in mortality and morbidity according to alcohol drinking. The other costs consisted of property loss, administration costs and costs of alcoholic beverage. RESULTS: The annual costs, which seemed to be attributable to alcohol drinking, were estimated to be 149,352 hundred million won (2.86% of GDP). In case of the latter, the amount includes 9,091 hundred million won for direct costs (6.09%), 62,845 hundred million won for the reduction and loss of productivity (42.08%), 44,691 hundred million won for loss of the workforce (29.92%), and the other costs (21.91%). CONCLUSIONS: Our study confirms that compared with the cases of Japan (1.9% of GNP) and the other advanced countries (1.00-1.42% of GDP), alcohol drinking incurs substantial socioeconomic costs to the Korean society. Therefore, this study provides strong support for government interventions to control alcohol drinking in Korea.; Summary

Out-of-pocket Health Expenditures by Non-elderly and Elderly Persons in Korea.: Sung Gyeong Kim, Seung Hum Yu, Woong Sub Park, Woo Jin Chung; J Prev Med Public Health. 2005;38(4):408-414.

2,200 View
60 Download

Abstract PDF: OBJECTIVES
The purpose of this study was to determine the impact of the sociodemographic and health characteristics on the out-of-pocket health spending of the individuals aged 20 and older in Korea. METHODS: We used the data from the 2001 National Public Health and Nutrition Survey. The final sample size was 26, 154 persons. Multiple linear regression models were used according to the age groups, that is, one model was used for those people under the age of sixty-five and the other was used for those people aged sixty-five and older. In these analyses, the expenditures were transformed to a logarithmic scale to reduce the skewness of the results. RESULTS: Out-of-pocket health expenditures for those people under the age of 65 averaged 14, 800 won per month, whereas expenditures for those people aged 65 and older averaged 27, 200 won per month. In the regression analysis, the insurance type, resident area, self-reported health status, acute or chronic condition and bed-disability days were the statistically significant determinants for both age groups. Gender and age were statistically significant determinants only for the non-elderly. CONCLUSIONS: The findings from this study show that the mean out-of-pocket health expenditures varied according to the age groups and also several diverse characteristics. Thus, policymakers should consider the out-of-pocket health expenditure differential between the elderly and nonelderly persons. Improvement of the insurance coverage for the economically vulnerable subgroups that were identified in this study should be carefully considered. In addition, it is necessary to assess the impact of out-of-pocket spending on the peoples' health care utilization.; Summary

First
Prev
Page of 1
Next
Last

Search