Department of Preventive Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
Department of Medical Education and Humanities, Kyung Hee University School of Medicine, Seoul, Korea.
J Prev Med Public Health. 2022 Jan;55(1):19-27. doi: 10.3961/jpmph.21.594. Epub 2022 Jan 31.
This study estimated the direct and indirect socioeconomic costs of 238 diseases and 22 injuries from a social perspective in Korea from 2007 to 2015. The socioeconomic cost of each disease group was calculated based on the Korean Standard Disease Classification System. Direct costs were estimated using health insurance claims data provided by the National Health Insurance Service. The numbers of outpatients and inpatients with the main diagnostic codes for each disease were selected as a proxy indicator for estimating patients' medical use behavior by disease. The economic burden of disease from 2007 to 2015 showed an approximately 20% increase in total costs. From 2007 to 2015, communicable diseases (including infectious, maternal, pediatric, and nutritional diseases) accounted for 8.9-12.2% of the socioeconomic burden, while non-infectious diseases accounted for 65.7-70.7% and injuries accounted for 19.1-22.8%. The top 5 diseases in terms of the socioeconomic burden were self-harm (which took the top spot for 8 years), followed by cirrhosis of the liver, liver cancer, ischemic heart disease, and upper respiratory infections in 2007. Since 2010, the economic burden of conditions such as low back pain, falls, and acute bronchitis has been included in this ranking. This study expanded the scope of calculating the burden of disease at the national level by calculating the burden of disease in Koreans by gender and disease. These findings can be used as indicators of health equality and as useful data for establishing community-centered (or customized) health promotion policies, projects, and national health policy goals.
本研究从社会角度估算了 2007 年至 2015 年韩国 238 种疾病和 22 种损伤所致直接和间接社会经济成本。按韩国标准疾病分类系统计算各疾病组的社会经济成本。直接成本采用国家健康保险服务提供的健康保险索赔数据估算。每个疾病的主要诊断代码的门诊和住院人数被选为估算疾病患者医疗使用行为的代理指标。2007 年至 2015 年疾病经济负担总费用增长约 20%。2007 年至 2015 年，传染病（包括传染病、孕产妇、儿科和营养疾病）占社会经济负担的 8.9-12.2%，而非传染病占 65.7-70.7%，损伤占 19.1-22.8%。按社会经济负担排名，前 5 位疾病依次为自伤（连续 8 年排名第一）、肝硬化、肝癌、缺血性心脏病和上呼吸道感染。自 2010 年以来，腰痛、跌倒和急性支气管炎等疾病的经济负担已纳入该排名。本研究通过按性别和疾病计算韩国人的疾病负担，扩大了国家层面计算疾病负担的范围。这些发现可作为健康公平的指标，并为制定以社区为中心（或定制）的健康促进政策、项目和国家卫生政策目标提供有用数据。
