Journal of Preventive Medicine and Public Health

  • 제41권5호
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  • Pages.287-294
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  • 2008
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

Estimating the Economic Burden of Osteoporotic Vertebral Fracture among Elderly Korean Women

  • 강혜영 (연세대학교 보건대학원) ;
  • 강대룡 (연세대학교 의료원 임상시험센터) ;
  • 장영화 (연세대학교 대학원 보건학과) ;
  • 박성은 (건강보험심사평가원) ;
  • 최원정 (건강보험심사평가원) ;
  • 문성환 (연세대학교 의과대학 정형외과) ;
  • 양규현 (연세대학교 의과대학 정형외과)
  • Kang, Hye-Young (Graduate School of Public Health, Yonsei University) ;
  • Kang, Dae-Ryong (Clinical Trials Center, Severance Hospital, Yonsei University Health System) ;
  • Jang, Young-Hwa (Department of Public Health, Graduate School, Yonsei University) ;
  • Park, Sung-Eun (Health Insurance Review & Assessment Services) ;
  • Choi, Won-Jung (Health Insurance Review & Assessment Services) ;
  • Moon, Seong-Hwan (Department of Orthopedics, College of Medicine, Yonsei University) ;
  • Yang, Kyu-Hyun (Department of Orthopedics, College of Medicine, Yonsei University)
  • 발행 : 2008.09.30
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초록

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

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참고문헌

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