Medical Expenditure of National Health Insurance Attributable to Smoking among the Korean Population.

Sang Yi Lee; Sun Ha Jee; Ji Eun Yun; Su Young Kim; Jakyung Lee; Jonathan M Samet; Il Soon Kim

doi:10.3961/jpmph.2007.40.3.227

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Research Support, Non-U.S. Gov't Medical Expenditure of National Health Insurance Attributable to Smoking among the Korean Population.: Sang Yi Lee, Sun Ha Jee, Ji Eun Yun, Su Young Kim, Jakyung Lee, Jonathan M Samet, Il Soon Kim; Journal of Preventive Medicine and Public Health 2007;40(3):227-232
DOI: https://doi.org/10.3961/jpmph.2007.40.3.227

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¹Department of Health Policy and Management, Medical College, Cheju National University, Jeju, Korea. jsunha@yumc.yonsei.ac.kr
²Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.
³Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.
⁴Metabolic Syndrome Research Initiative, Seoul, Korea.
⁵Department of Preventive Medicine, Medical College, Cheju National University, Jeju, Korea.
⁶Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
⁷Korean Association of Smoking and Health, Seoul, Korea.

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Abstract

OBJECTIVES
The purpose of this study was to determine the population-attributable risk (PAR) and estimate the total medical expenditure of the Korean National Health Insurance (KNHI) due to smoking. METHODS: We used data from the Korean Cancer Prevention Study of 1,178,138 Koreans aged 30 to 95. These data were available from 1992 to 2003 and covered a long-term follow-up period among the Korean population. RESULTS: The total medical expenditure of KNHI related to smoking increased by 27% from $324.9 million in 1999 to $413.7 million in 2003. By specific diseases, smokingattributable KNHI medical expenditure was the highest for lung cancer ($74.2 million), followed by stroke ($65.3 million), COPD ($50.1 million), CHD ($49 million) and stomach cancer ($30 million). A total of 1.3 million KNHI patients were suffering from smoking-related diseases in 2003. We predicted rises in total KNHI medical expenditure related to smoking to $675.1 million (63% increase compared with that of 2003) and in the total number of KNHI patients suffering from smoking-related diseases to about 2.6million (an approximate 100% increase compared with those in 2003) in 2015. CONCLUSIONS: We found a substantial economic burden related to the high smoking prevalence in South Korea.

Keywords: Smoking;Medical expenditure;Populationattributable risk;Relative risk;Cohort study

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