Figure 1Prevalence of treated coronary heart disease by age and sex in Korea, 2005. CHD, coronary heart disease; MI, myocardial infarction.
Figure 2Total national cost of coronary heart disease in Korea in 2005 according to subtype.
Figure 3Direct costs of coronary heart disease by age and sex, Korea, 2005. Direct costs include direct medical cost (inpatient care, outpatient care, and prescribed drug treatment) and transportation cost. CHD, coronary heart disease; MI, myocardial infarction.
Figure 4Indirect costs for coronary heart disease by age and sex, Korea, 2005. Indirect costs include productivity loss due to morbidity and mortality from coronary heart disease and informal caregiver time. CHD, coronary heart disease; MI, myocardial infarction.
Table 1.The number of treated CHD patients according to diagnosis categories
|
|
CHD |
Angina |
MI |
Others |
Primary diagnosis |
IPD |
99 019 |
62 823 |
22 447 |
19 533 |
OPD |
545 383 |
419 432 |
60 056 |
119 055 |
IPD+OPD |
568 672 |
436 842 |
70 568 |
130 543 |
1st secondary diagnosis |
IPD |
57 839 |
25 592 |
8624 |
25 896 |
OPD |
568 543 |
384 674 |
32 985 |
190 879 |
IPD+OPD |
599 593 |
401 047 |
40 057 |
208 842 |
Primary diagnosis+ 1st secondary diagnosis |
IPD |
130 233 |
84 786 |
29 597 |
42 630 |
OPD |
922 997 |
691 899 |
84 485 |
276 170 |
IPD+OPD |
956 191 |
714 101 |
99 128 |
299 333 |
Table 2.The treated prevalence (%) of CHD, angina, and MI in Korea
Age (y) |
CHD
|
Angina
|
MI
|
Male |
Female |
Male |
Female |
Male |
Female |
20-24 |
0.25 |
0.18 |
0.20 |
0.13 |
0.02 |
0.02 |
25-29 |
0.28 |
0.23 |
0.22 |
0.17 |
0.03 |
0.02 |
30-34 |
0.46 |
0.32 |
0.36 |
0.24 |
0.06 |
0.03 |
35-39 |
0.72 |
0.48 |
0.55 |
0.37 |
0.09 |
0.03 |
40-44 |
1.23 |
0.80 |
0.93 |
0.61 |
0.16 |
0.05 |
45-49 |
2.04 |
1.57 |
1.54 |
1.20 |
0.26 |
0.09 |
50-54 |
2.71 |
2.40 |
2.03 |
1.84 |
0.36 |
0.13 |
55-59 |
4.28 |
4.00 |
3.23 |
3.06 |
0.54 |
0.22 |
60-64 |
5.85 |
5.96 |
4.43 |
4.56 |
0.72 |
0.38 |
65-69 |
7.10 |
7.62 |
5.33 |
5.75 |
0.90 |
0.58 |
70-74 |
6.94 |
7.93 |
5.20 |
5.88 |
0.92 |
0.71 |
75-79 |
6.82 |
7.68 |
5.01 |
5.45 |
0.96 |
0.83 |
80-84 |
6.30 |
6.14 |
4.44 |
4.07 |
1.01 |
0.82 |
85- |
5.25 |
5.24 |
3.46 |
3.15 |
0.93 |
0.88 |
Total |
2.38 |
2.53 |
1.78 |
1.88 |
0.31 |
0.20 |
Table 3.The total national costs ($) of CHD in Korea
|
|
CHD |
Angina |
MI |
Direct cost |
Inpatient care cost |
509 520 654 |
265 711 098 |
174 468 806 |
Outpatient care cost |
833 968 707 |
580 463 607 |
91 718 969 |
Transportation cost |
203 876 685 |
141 324 561 |
13 232 328 |
Subtotal |
1 547 366 046 |
987 499 266 |
279 420 103 |
Indirect cost |
Productivity loss |
84 116 116 |
265 711 098 |
13 395 806 |
Informal care cost |
123 094 544 |
70 566 302 |
22 697 137 |
Premature death |
763 835 278 |
26 590 271 |
638 326 056 |
Subtotal |
971 045 938 |
362 867 670 |
674 418 999 |
Total |
|
2 518 411 984 |
1 350 366 937 |
953 839 103 |
Table 4.Annual health care utilization and costs per patient by age and by sex in Korea, 2005
Sex |
Age (y) |
CHD
|
Angina
|
MI
|
IP1
|
OP2
|
Costs3
|
IP |
OP |
Costs |
IP |
OP |
Costs |
Male |
≥ 20 |
10.2 |
5.0 |
2093 |
8.2 |
4.6 |
1712 |
11.1 |
3.5 |
3452 |
|
20-24 |
7.9 |
1.7 |
356 |
6.1 |
1.7 |
301 |
12.6 |
1.5 |
600 |
|
25-29 |
7.9 |
1.9 |
477 |
7.3 |
1.9 |
398 |
7.5 |
1.7 |
877 |
|
30-34 |
7.0 |
2.3 |
641 |
5.9 |
2.2 |
487 |
8.4 |
2.1 |
1464 |
|
35-39 |
7.1 |
2.9 |
981 |
5.7 |
2.7 |
747 |
8.2 |
2.4 |
2128 |
|
40-44 |
8.2 |
3.5 |
1358 |
6.3 |
3.2 |
1023 |
8.8 |
2.9 |
2981 |
|
45-49 |
8.2 |
4.2 |
1654 |
6.7 |
3.8 |
1306 |
9.1 |
3.3 |
3323 |
|
50-54 |
8.6 |
4.7 |
2134 |
6.9 |
4.3 |
1752 |
9.5 |
3.6 |
3686 |
|
55-59 |
9.2 |
5.1 |
2288 |
7.3 |
4.7 |
1919 |
10.9 |
3.7 |
3758 |
|
60-64 |
9.8 |
5.4 |
2300 |
8.1 |
5.0 |
1943 |
11.0 |
3.8 |
3673 |
|
65-69 |
10.5 |
5.8 |
2378 |
8.5 |
5.4 |
2022 |
11.4 |
3.9 |
3630 |
|
70-74 |
11.8 |
6.1 |
2452 |
9.5 |
5.7 |
2042 |
12.4 |
3.8 |
3781 |
|
75-79 |
13.8 |
6.1 |
2415 |
11.7 |
5.7 |
2004 |
13.0 |
3.9 |
3519 |
|
80-84 |
14.4 |
5.9 |
2690 |
11.3 |
5.6 |
1869 |
14.2 |
3.5 |
3576 |
|
85- |
16.1 |
5.5 |
2533 |
14.9 |
5.3 |
1674 |
13.5 |
3.4 |
3341 |
Female |
≥ 20 |
11.6 |
5.2 |
1596 |
8.8 |
4.9 |
1411 |
14.0 |
3.1 |
2780 |
|
20-24 |
5.1 |
1.6 |
253 |
4.7 |
1.6 |
237 |
3.5 |
1.3 |
283 |
|
25-29 |
6.7 |
1.9 |
337 |
7.1 |
1.8 |
295 |
7.6 |
1.4 |
539 |
|
30-34 |
6.2 |
2.1 |
363 |
5.6 |
2.1 |
324 |
6.5 |
1.5 |
581 |
|
35-39 |
8.0 |
2.6 |
418 |
6.7 |
2.5 |
414 |
12.4 |
1.8 |
958 |
|
40-44 |
7.4 |
3.2 |
634 |
6.7 |
3.0 |
586 |
9.2 |
2.1 |
940 |
|
45-49 |
8.1 |
3.8 |
804 |
7.1 |
3.6 |
756 |
9.6 |
2.4 |
1205 |
|
50-54 |
8.1 |
4.4 |
1189 |
6.6 |
4.1 |
1114 |
12.1 |
2.5 |
1698 |
|
55-59 |
8.0 |
4.9 |
1368 |
6.6 |
4.6 |
1284 |
11.7 |
2.8 |
2125 |
|
60-64 |
8.4 |
5.3 |
1561 |
7.0 |
5.0 |
1437 |
11.0 |
3.3 |
2693 |
|
65-69 |
9.8 |
5.9 |
1899 |
7.9 |
5.5 |
1724 |
12.7 |
3.5 |
3171 |
|
70-74 |
12.2 |
6.1 |
2055 |
9.3 |
5.8 |
1821 |
13.6 |
3.6 |
3368 |
|
75-79 |
15.2 |
6.1 |
2134 |
11.6 |
5.7 |
1803 |
15.1 |
3.7 |
3660 |
|
80-84 |
18.9 |
5.8 |
2050 |
15.4 |
5.4 |
1635 |
17.1 |
3.3 |
3381 |
|
85- |
21.0 |
5.1 |
1960 |
18.7 |
4.9 |
1476 |
16.9 |
3.0 |
3042 |
Total |
|
10.9 |
5.1 |
1835 |
8.5 |
4.7 |
1556 |
12.2 |
3.4 |
3183 |
Table 5.Macroeconomic significance of societal burden of CHD in 2005
|
|
% of GDP |
% of NHE |
% of NHI |
GDP (2005) |
791 519 |
100.00 |
- |
- |
NHE (2005) |
47 491 |
6.00 |
100.00 |
- |
NHI (2005) |
18 816 |
2.38 |
39.62 |
100.00 |
Social costs of CHD |
2518 |
0.32 |
5.30 |
13.38 |
Direct costs of CHD |
1547 |
0.20 |
3.26 |
8.22 |
Direct medical costs of CHD |
1343 |
0.17 |
2.83 |
7.14 |