Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Kyungki 463-707, Republic of Korea.
Health Policy. 2011 May;100(2-3):234-8. doi: 10.1016/j.healthpol.2010.09.010. Epub 2010 Oct 16.
This study examined the prevalence of cerebral palsy (CP) in South Korea, and the attributable lifetime medical cost according to physiological types and extent of involvement.
The number of medical service use and medical cost of CP were obtained from the national health insurance review and assessment (HIRA) service. The prevalence was calculated from the number of five-year-old patients who used medical services between 2004 and 2008. The lifetime medical cost of CP was calculated from the data and discount rate of 3%.
The prevalence of CP in South Korea was 2.6 per 1000 children. The attributable lifetime medical cost of CP in South Korea was calculated to be 26,383 US dollars, which is 1.8 times the basic lifetime medical cost of the general population (14,579 US dollars). Spastic CP showed the highest attributable medical cost, followed by dyskinetic and ataxic CP. Spastic diplegia showed 1.4 times of the attributable lifetime medical cost of spastic hemiplegia.
The prevalence of CP in South Korea is comparable to that in other countries. CP is a disease with wide range of clinical features, and the medical cost according to the physiological types and extent of involvement should be considered.
本研究调查了韩国脑瘫（CP）的患病率，以及根据生理类型和受累程度的终生医疗费用。
从国家健康保险审查和评估（HIRA）服务中获得 CP 的医疗服务使用数量和医疗费用。患病率是根据 2004 年至 2008 年期间使用医疗服务的五岁以下患者人数计算得出的。CP 的终生医疗费用是根据数据和 3%的贴现率计算得出的。
韩国 CP 的患病率为每 1000 名儿童 2.6 例。韩国 CP 的终生归因医疗费用估计为 26383 美元，是普通人群（14579 美元）基本终生医疗费用的 1.8 倍。痉挛性 CP 的归因医疗费用最高，其次是运动障碍性 CP 和共济失调性 CP。痉挛性双瘫的终生归因医疗费用是痉挛性偏瘫的 1.4 倍。
韩国 CP 的患病率与其他国家相当。CP 是一种具有广泛临床特征的疾病，应考虑根据生理类型和受累程度的医疗费用。
