장애등급 분포를 활용한 흡연에 의한 뇌졸중 질병부담비용 측정

Smoking Attributed Economic Burden of Stroke Using Disability Grades

  • 서유신 (이화여자대학교 융합보건학과) ;
  • 안정훈 (이화여자대학교 융합보건학과)
  • Suh, Youshin (Department of Health Convergence, Ewha Womans University) ;
  • Ahn, Jeonghoon (Department of Health Convergence, Ewha Womans University)
  • 투고 : 2018.09.03
  • 심사 : 2018.12.27
  • 발행 : 2018.12.31

초록

Objectives: The purpose of the study was to estimate the economic burden of stroke in Korea using post stroke disability grades and to measure smoking attributed economic burden. Methods: The disability grade of stroke patient was assessed for stroke patients who did not have a history of stroke before from a large cohort study in Korea. Treatment costs of patients were estimated by the National Health Insurance Service annual statistical report and care cost was estimated by the need of care defined by the assessed disability grades of patients. The population attributable fraction from WHO was used to calculate the proportion of cost due to smoking. Results: The study revealed that the cost of the stroke in 2015 was about 3.228 trillion won, while the care-giver cost was approximately 176 billion won. The cost of the smoking attributed stroke was about 724 billion won. Conclusion: This study is useful for estimating the cost of smoking considering the post-stroke disability and the results is important for achieving the national goal of extending healthy life from the Fourth National Health Promotion Plan.

키워드

참고문헌

  1. Lee SY, Kim YH, Kim HS. Estimate over the number of chronic disease patients and medical care expenditure at the time of transition of baby boomer into 65 years old aging population. Health Policy and Mangemnet 2013;23:377-386.
  2. Hong KS, Bang OY, Kang DW, Yu KH, Bae HJ, Lee JS, et al. Stroke statistics in Korea: part I. Epidemiology and risk factors: a report from the Korean stroke society and clinical research center for stroke. J Stroke 2013;15:2-20. https://doi.org/10.5853/jos.2013.15.1.2
  3. 정영호, 고숙자. 5대 사망원인 질병의 사회.경제적 비용추계. 재정논집 2004;18:77-104.
  4. Lim SJ, Kim HJ, Nam CM, Chang HS, Jang YH, Kim S, et al. Socioeconomic costs of stroke in Korea: estimated from the Korea national health insurance claims database. J Prev Med Public Health 2009;42:251-260. https://doi.org/10.3961/jpmph.2009.42.4.251
  5. 김현진. 뇌졸중의 경제적 질병 부담과 고혈압의 치료 지속성, 의료비용 및 건강결과에 관한연구 [박사학위]. 서울: 고려대학교 대학원;2013.
  6. Kang HY, Lim SJ, Suh HS, Liew D. Estimating the lifetime economic burden of stroke according to the age of onset in South Korea: a cost of illness study. BMC Public Health 2011;11:646. https://doi.org/10.1186/1471-2458-11-646
  7. 김윤희, 신상진, 박주연, 정예지, 김지민, 이태진 등. 보건의료분야 에서 비용 산출방법. 서울: 한국보건의료연구원;2013. pp.1-181.
  8. Kim HJ, Park TK, Jee SH, Kang HY, Nam CM. Analysis of socioeconomic costs of smoking in Korea. Korean J Prev Med 2001;34:183-190.
  9. 이옥희, 이장수, 이형진, 김혜련, 최대성, 서남규. 2015년도 건강보험환자 진료비 실태조사. 서울: 국민건강보험공단;2016.
  10. Chang WH, Sohn MK, Lee J, Kim DY, Lee SG, Shin YI, et al. Role of intensive inpatient rehabilitation for prevention of disability after stroke: The Korean Stroke Cohort for functioning and rehabilitation (KOSCO) study. Brain Neurorehabil 2016;9:e4. https://doi.org/10.12786/bn.2016.9.e4
  11. Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean Version of Modified Barthel Index (K-MBI): multi-center study for subjects with stroke. J Korean Acad Rehabil Med 2007;31:283-297.
  12. 건강보험심사평가원. 의약품경제성평가지침 및 자료작성요령. 서울: 건강보험심사평가원;2011.
  13. 노상윤, 최영순, 문성웅, 백수진, 고유경. 금연사업의 진료비 절감효과 분석 연구. 서울: 국민건강보험공단;2009.
  14. 장보형, 신상진, 김민정, 김종희, 김지민, 박선주. 뇌졸중 재활치료 현황 및 의료이용자 요구 분석. 서울: 한국보건의료연구원;2012. pp.1-132.
  15. Jung KJ, Yun YD, Baek SJ, Jee SH, Kim IS. Smoking-attributable mortality among Korean adults, 2012. J Korea Soc Health Inform Stat 2013;38:36-48.