Hong Jiyeon, Lee Yongjin, Lee Geonwoo, Lee Hanseul, Yang Jiyeon
Enterprise Risk Service Deloitte Anjin LLC, Seoul, Korea ; Department of Environmental Engineering, Yonsei University, Wonju, Korea.
Institute for Environmental Research, Yonsei University Health System, Seoul, Korea.
Environ Health Toxicol. 2015 Jun 12;30 Suppl:s2015006. doi: 10.5620/eht.s2015006. eCollection 2015.
This study is conducted to estimate the cost paid by the public suffering from disease possibly caused by chemical and to examine the effect on public health.
Cost-benefit analysis is an important factor in analysis and decision-making and is an important policy decision tool in many countries. Cost-of-illness (COI), a kind of scale-based analysis method, estimates the potential value lost as a result of illness as a monetary unit and calculates the cost in terms of direct, indirect and psychological costs. This study estimates direct medical costs, transportation fees for hospitalization and outpatient treatment, and nursing fees through a number of patients suffering from disease caused by chemicals in order to analyze COI, taking into account the cost of productivity loss as an indirect cost.
The total yearly cost of the diseases studied in 2012 is calculated as 77 million Korean won (KRW) per person. The direct and indirect costs being 52 million KRW and 23 million KRW, respectively. Within the total cost of illness, mental and behavioral disability costs amounted to 16 million KRW, relevant blood immunological parameters costs were 7.4 million KRW, and disease of the nervous system costs were 6.7 million KRW.
This study reports on a survey conducted by experts regarding diseases possibly caused by chemicals and estimates the cost for the general public. The results can be used to formulate a basic report for a social-economic evaluation of the permitted use of chemicals and limits of usage.
本研究旨在估算因化学物质可能导致的疾病给公众带来的费用,并考察其对公众健康的影响。
成本效益分析是分析和决策中的一个重要因素,也是许多国家重要的政策决策工具。疾病成本(COI)是一种基于量表的分析方法,它以货币单位估算因疾病而损失的潜在价值,并计算直接、间接和心理成本方面的费用。本研究通过一些因化学物质导致疾病的患者来估算直接医疗费用、住院和门诊治疗的交通费用以及护理费用,以分析疾病成本,同时将生产力损失成本作为间接成本考虑在内。
2012年所研究疾病的人均年度总成本计算为7700万韩元。直接成本和间接成本分别为5200万韩元和2300万韩元。在疾病总成本中,精神和行为残疾成本达1600万韩元,相关血液免疫参数成本为740万韩元,神经系统疾病成本为670万韩元。
本研究报告了专家针对化学物质可能导致的疾病所进行的一项调查,并估算了公众的费用。这些结果可用于制定一份关于化学物质允许使用和使用限制的社会经济评估的基础报告。