Journal of Food Hygiene and Safety (한국식품위생안전성학회지)

The Korean Society of Food Hygiene and Safety (한국식품위생안전성학회)
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Assessing the Economic Impact of Leisure Loss among Korean individuals Affected by Food Poisoning

  • Hyung Joung Jin (Department of Economics, Chung-Ang University) ;
  • Yesol Kim (Contents Financing Support Team, Korea Creative Content Agency)
  • Received : 2024.02.15
  • Accepted : 2024.03.26
  • Published : 2024.04.30
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Abstract

In previous Cost-of-Illness (COI) studies, the economic impact of lost leisure time of patients has been mostly underexplored. Furthermore, few studies have focused on chronic or severe diseases, thereby inadequately addressing the segment of self-care patients who do not fall into the categories of inpatients or outpatients. In the present study, we used a comprehensive approach to calculate the annual cost of leisure loss, incorporating factors such as employment status, self-care options, and total period of leisure activity disruption. This required analyzing data from various sources, including health and labor statistics, and applying methods to accurately assess the leisure time lost due to food poisoning. The findings showed that the annual cost of leisure loss for South Korean patients with food poisoning is significant, amounting to approximately 784.5 billion KRW (702.8 million USD, USD/KRW : 1128.34). This study revealed that overlooking self-care patients and not accounting for the affected time in addition to treatment time and employment status significantly underestimated these costs. This study highlights the importance of considering a wider range of factors, including self-care, employment status, as well as the entire affected period, in assessing the societal impact of diseases such as food poisoning. These findings provide valuable insights for policymakers and healthcare professionals to understand the broader economic implications of illness and allocate healthcare resources more effectively.

기존 질병비용연구(COI)에서 환자의 여가시간 손실에 따른 경제적 영향은 상대적으로 적은 관심을 받아왔다. 또한, 기존연구들은 주로 만성질환 또는 중질환에 초점을 맞췄으며, 이로 인해 입원환자나 외래환자가 아닌 상대적으로 증상이 약한 자가치료환자들에 대해서는 충분히 다루지 못했다는 한계를 가지고 있다. 이에 본 연구에서는 자가치료 환자들을 포함하고, 더 나아가 고용 상태와 실제 여가활동 중단 기간 등을 고려하여 식중독으로 인한 여가손실의 연간 비용을 계산하였다. 이 과정에서 건강과 노동에 관한 통계 자료를 활용하고, 식중독으로 인한 여가손실을 정확히 평가하는 방법을 제시하였다. 연구 결과, 국내에서 식중독으로 인한 여가 손실에 따른 연간 경제적 비용은 약 7,845억 원(7억 2,800만 USD)으로 나타났다. 본 연구에서는 자가 치료 환자들을 포함하지 않거나 치료 시간과 고용 상태를 고려하지 않은 경우, 여가손실비용이 낮게 추정될 가능성을 제시하고 있다. 즉, 식중독과 같은 질병의 사회적 영향을 평가할 때 자가 치료, 고용 상태, 그리고 영향받는 전체 기간을 포함한 다양한 요소를 고려하는 것이 중요하다는 것을 의미한다. 이 연구 결과는 정책 결정자와 의료 전문가들에게 질병의 경제적 영향을 보다 넓은 관점에서 이해하고, 보건의료 자원을 더 효과적으로 배분하는 데 도움이 될 수 있는 중요한 통찰을 제공한다.

Keywords

Acknowledgement

This paper is a partial revision and supplement of the Ministry of Food and Drug Safety's 'A Study on Socioeconomic Cost Measurement according to Outbreak Foodborne Disease'(2021).

References

  1. Ernst, R.L., Hay, J.W., The US economic and social costs of Alzheimer's disease revisited. Am. J. Public Health, 84, 1261-1264 (1994).  https://doi.org/10.2105/AJPH.84.8.1261
  2. Deb, A., Thornton, J.D., Sambamoorthi, U., Innes, K., Direct and indirect cost of managing Alzheimer's disease and related dementias in the United States. Expert Rev. Pharmacoecon Outcomes Res., 17, 189-202 (2017).  https://doi.org/10.1080/14737167.2017.1313118
  3. Yabroff, K.R., Davis, W.W., Lamont, E.B., Fahey, A., Topor, M., Brown, M.L., Warren, J.L., Patient time costs associated with cancer care. J. Natl. Cancer Inst., 99, 14-23 (2007).  https://doi.org/10.1093/jnci/djk001
  4. Chang, S., Long, S.R., Kutikova, L., Bowman, L., Finley, D., Crown, W.H., Bennett, C.L., Estimating the cost of cancer: results on the basis of claims data analyses for cancer patients diagnosed with seven types of cancer during 1999 to 2000. J. Clin. Oncol., 22, 3524-3530 (2004).  https://doi.org/10.1200/JCO.2004.10.170
  5. Mariotto, A.B., Yabroff, K.R., Shao, Y., Feuer, E.J., Brown, M. L., Projections of the cost of cancer care in the United States: 2010-2020. J. Natl. Cancer Inst., 103, 117-128 (2011).  https://doi.org/10.1093/jnci/djq495
  6. Spottke, A.E., Reuter, M., Machat, O., Bornschein, B., von Campenhausen, S., Berger, K., Koehne-Volland, R., Rieke, J., Simonow, A., Brandstaedter, D., Sieber, U., Oertel, W. H., Ulm, G., Dodel, R., Cost of illness and its predictors for Parkinson's disease in Germany. Pharmacoecon, 23, 817-836 (2005).  https://doi.org/10.2165/00019053-200523080-00007
  7. Kirigia, J.M., Sambo, H.B., Sambo, L.G., Barry, S.P., Economic burden of diabetes mellitus in the WHO African region. BMC Int. Health Hum. Rights, 9, 1-12 (2009).  https://doi.org/10.1186/1472-698X-9-1
  8. Scharff, R.L., McDowell, J., Medeiros, L., Economic cost of foodborne illness in Ohio. J. Food Prot., 72, 128-136 (2009).  https://doi.org/10.4315/0362-028X-72.1.128
  9. Thomas, M.K., Vriezen, R., Farber, J.M., Currie, A., Schlech, W., Fazil, A., Economic cost of a Listeria monocytogenes outbreak in Canada, 2008. Foodborne Pathog. Dis., 12, 966-971 (2015).  https://doi.org/10.1089/fpd.2015.1965
  10. Van Tulder, M.W., Koes, B.W., Bouter, L.M., A cost-of-illness study of back pain in The Netherlands. Pain, 62, 233-240 (1995).  https://doi.org/10.1016/0304-3959(94)00272-G
  11. Friemel, S., Bernert, S., Angermeyer, M. C., Konig, H. H., The direct costs of depressive disorders in Germany. Psychiatr. Prax., 32, 113-121 (2005).  https://doi.org/10.1055/s-2004-834611
  12. Luppa, M., Heinrich, S., Angermeyer, M.C., Konig, H.H., Riedel-Heller, S.G., Cost-of-illness studies of depression: a systematic review. J. Affect. Disord., 98, 29-43 (2007).  https://doi.org/10.1016/j.jad.2006.07.017
  13. Posnett, J., Jan, S., Indirect cost in economic evaluation: the opportunity cost of unpaid inputs. Health Econ., 5, 13-23 (1996).  https://doi.org/10.1002/(SICI)1099-1050(199601)5:1<13::AID-HEC182>3.0.CO;2-J
  14. Oliva, J., Lobo, F., Lopez-Bastida, J., Zozaya, N., Romay, R., Indirect costs of cervical and breast cancers in Spain. Eur. J. Health Econ., 6, 309-313 (2005).  https://doi.org/10.1007/s10198-005-0303-4
  15. Van Den Berg, B., Brouwer, W.B., Koopmanschap, M.A., Economic valuation of informal care: an overview of methods and applications. Eur. J. Health Econ., 5, 36-45 (2004).  https://doi.org/10.1007/s10198-003-0189-y
  16. Canadian Burden of Illness Study Group, Burden of illness of multiple sclerosis. Part I: cost of illness. Can. J. Neurol. Sci., 25, 23-30 (1998).  https://doi.org/10.1017/S0317167100033448
  17. Findley, L.J., The economic impact of Parkinson's disease. Parkinsonism Relat. Disord., 13, S8-S12 (2007).  https://doi.org/10.1016/j.parkreldis.2007.06.003
  18. Guerriere, D.N., Tranmer, J.E., Ungar, W.J., Manoharan, V., Coyte, P.C., Valuing care recipient and family caregiver time: a comparison of methods. Int. J. Technol. Assess. Health Care, 24, 52-60 (2008).  https://doi.org/10.1017/S0266462307080075
  19. Chatterjee, S., Riewpaiboon, A., Piyauthakit, P., Riewpaiboon, W., Boupaijit, K., Panpuwong, N., Archavanuntagul, V., Cost of diabetes and its complications in Thailand: a complete picture of economic burden. Health Soc. Care Community, 19, 289-298 (2011).  https://doi.org/10.1111/j.1365-2524.2010.00981.x
  20. Rudmik, L., Smith, T.L., Schlosser, R.J., Hwang, P.H., Mace, J.C., Soler, Z.M., Productivity costs in patients with refractory chronic rhinosinusitis. Laryngoscope, 124, 2007-2012 (2014).  https://doi.org/10.1002/lary.24630
  21. Barral, M., Rabier, H., Termoz, A., Serrier, H., Colin, C., Haesebaert, J., Derex, L., Nighoghossian, N., Schott, A.M., Viprey, M., Stroke69 Study Group, Patients' productivity losses and informal care costs related to ischemic stroke: a French population-based study. Eur. J. Neurol., 28, 548-557 (2021).  https://doi.org/10.1111/ene.14585
  22. Kelly, J.R., Leisure, 3rd ed, Allyn & Bacon, Needham Heights, MA, USA (1996). 
  23. Liljas, B., How to calculate indirect costs in economic evaluations. Pharmacoecon., 13, 1-7 (1998).  https://doi.org/10.2165/00019053-199813010-00001
  24. Alcock, P.A., Food poisoning, HK Lewis, London, England (1983). 
  25. Health Insurance Review and Assessment Service (HIRA), The number of patients who visited hospitals due to food poisoning, Wonju, Korea. 
  26. Statistics Korea, The economically active population survey, Daejeon, Korea (2019). 
  27. Ministry of Culture, Sports, and Tourism of Korea (MCST), National leisure activity survey, Sejong, Korea (2019). 
  28. Firestone, J., Shelton, B.A., An estimation of the effects of women's work on available leisure time. J. Fam. Issues, 9, 478-495 (1998).  https://doi.org/10.1177/019251388009004004
  29. Bittman, M., Wajcman, J., The rush hour: the character of leisure time and gender equity. Soc. Forces, 79, 165-189 (2000).  https://doi.org/10.2307/2675568
  30. Koopmanschap, M.A., Van Ineveld, B.M., Towards a new approach for estimation indirect costs of disease. Soc. Sci. Med., 34, 1005-1010 (1992). https://doi.org/10.1016/0277-9536(92)90131-9