Journal of Preventive Medicine and Public Health

  • 제43권4호
  • /
  • Pages.352-361
  • /
  • 2010
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

식중독의 사회경제적 비용추정: 삶의 질 개념을 적용한 질병비용추정법을 이용하여

Socioeconomic Costs of Food-Borne Disease Using the Cost-of-Illness Model: Applying the QALY Method

  • 투고 : 2010.04.08
  • 심사 : 2010.06.08
  • 발행 : 2010.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study estimated the annual socioeconomic costs of food-borne disease in 2008 from a societal perspective and using a cost-of-illness method. Methods: Our model employed a comprehensive set of diagnostic disease codes to define food-borne diseases with using the Korea National Health Insurance (KNHI) reimbursement data. This study classified the food borne illness as three types of symptoms according to the severity of the illness: mild, moderate, severe. In addition to the traditional method of assessing the cost-of-illness, the study included measures to account for the lost quality of life. We estimated the cost of the lost quality of life using quality-adjusted life years and a visual analog scale. The direct cost included medical and medication costs, and the non-medical costs included transportation costs, caregiver's cost and administration costs. The lost productivity costs included lost workdays due to illness and lost earnings due to premature death. Results: The study found the estimated annual socioeconomic costs of food-borne disease in 2008 were 954.9 billion won (735.3 billion won-996.9 billion won). The medical cost was 73.4 -76.8% of the cost, the lost productivity cost was 22.6% and the cost of the lost quality of life was 26.0%. Conclusions: Most of the cost-of-illness studies are known to have underestimated the actual socioeconomic costs of the subjects, and these studies excluded many important social costs, such as the value of pain, suffering and functional disability. The study addressed the uncertainty related to estimating the socioeconomic costs of food-borne disease as well as the updated cost estimates. Our estimates could contribute to develop and evaluate policies for food-borne disease.

키워드

참고문헌

  1. Lee KI, Kim SH, Lee MH. Developing a Risk/Benefit Model for Food Safety Regulation. Seoul: Korea Food & Drug Administration; 2007. (Korean)
  2. Shin HS, Lee SH, Kim DJ, Lee JK, Choi SE. Climate Change and Socio-Economic Cost for Food Security. Seoul: Korea Food & Drug Administration; 2009. (Korean)
  3. Crutchfield, SR, and Tanya R. Food safety efforts accelerate in the 1990's. Food Rev 2000; 23(3): 44-49.
  4. Hall G, Kirk MD, Becker N, Gregoty JE, Unicomb L, Millard G, et al. Estimating food-borne gastroenteritis, Australia. Emerg Infect Dis 2005; 11(8): 1257-1264. https://doi.org/10.3201/eid1108.041367
  5. Todd ECD. Preliminary estimates of costs of food-borne disease in canada and costs to reduce salmonellosis. J Food Prot 1989; 52(8): 586-594. https://doi.org/10.4315/0362-028X-52.8.586
  6. Buzby JC, Roberts T, Lin CTJ, MacDonald JM. Bacterial Food-borne Disease: Medical Costs and Productivity Losses: Agricultural Economics Reports; 1996.
  7. Roberts JA, Sockett PN. The socio-eocnomic impact of salmonella enteritidis infection. Int J Food Microbiol 1994; 21(1-2): 117-129. https://doi.org/10.1016/0168-1605(94)90205-4
  8. Scott WG, Scott HM, Lake RJ, Baker MG. Economic cost to New Zealand of foodborne infectious disease. N Z Med J 2000; 113(1113): 281-284.
  9. Lindqvist R, Andersson Y, Lindbäck J, Wegscheider M, Eriksson Y, Tideström L, et al. A one-year study of foodborne illness in the municipality of Uppsala, Sweden. Emerg Infect Dis 2001; 7(Suppl 3): 588-592. https://doi.org/10.3201/eid0707.010742
  10. Scharff RL, McDowell J, Medeiros L. Economic cost of foodborne illness in Ohio. J Food Prot 2009; 72(1): 128-136. https://doi.org/10.4315/0362-028X-72.1.128
  11. Bahk GJ, Roh WS, Estimates of cases and social economic costs of food-borne salmonellosis in Korea, J Fd Hyg Saf 1998; 13(3): 299-304. (Korean)
  12. Choi JK. A Study on the Social Costs of Salmonella Foodborne Disease [dissertation], Seoul: Seoul National University; 2007. (Korean)
  13. Bahk GJ, Chun SJ, Yoo EH, Oh WT, Sim WC, Rho MJ, et al. The Development of Estimate Model of Social Economic Costs and Estimates Socio-Economic Effect of Food-borne Disease in Korea. Seoul: Korea Food & Drug Administration; 2001. (Korean)
  14. Yang BM. Health Care Economics. Seoul: NaNam Press; 1999. p.410-412. (Korean)
  15. National Health Insurance Corporation. Survey on the benefit Coverage Rate of National Health Insurance in 2007. Seoul: National Health Insurance Corporation; 2008. (Korean)
  16. Korea Institute for Health and Social Affairs. The Third Korea National Health and Nutrition Examination Survey (KNHANES III). Seoul: Korea Institute for Health and Social Affairs; 2005 (Korean)
  17. Korea National Statistical Office. Inflation rate, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/.
  18. Choi BH, Shin HS, Huh SI, Sun WD, Byun YC, Kim SC et al. A Study for the Second Simulation Model of Korean Long-term Care Insurance. Seoul: Korea Institute for Health and Social Affairs; 2007. (korean)
  19. Ministry of Labor. Wage Structure Survey. [cited 2009 Oct 31]; Available from: URL: http://laborstat.molab. go.kr/
  20. Korea National Statistical Office. Economically Active Population Survey, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/
  21. Landefeld JS, Seskin EP. The economic value of life: linking theory to practice. Am J Public Health 1982; 72(6): 555-566. https://doi.org/10.2105/AJPH.72.6.555
  22. Korea National Statistical Office. Cause of Death, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/.
  23. Mead P, Slutsker L, Dietz V, McCaig LF, Bresee JS, Shapiro C. Food-related illness and death in the United States. Emerg Infect Dis 1999; 5(55): 607-625. https://doi.org/10.3201/eid0505.990502
  24. Lasher A. A Method to Estimate the Burden of Food-borne Illness, IRAC - Sponsored Public Conference November 16, 2007 in Washinton D.C.
  25. Eom YS. Self protection activity and valuation of human life; seatbelt use as a case study. Environ Econ Rev 1997; 6(1): 107-130. (Korean)
  26. Shin YC, Joh SH. Estimating the willingness-to-pay and the value of a statistical life for future nortality risk reduction : the value of a statistical life for assessing environmental damages and policies. Environ Resour Econ Rev 2003; 12(1): 49-74. (Korean)
  27. Lee YJ, Kim YS, Shin DC, Shin YC. A study on developing a model for cancer damage cost due to risk from benzene in Ulsan metropolitan city. Environ Resour Econ Rev 2004; 13(1): 49-82. (Korean)
  28. Shin YC. Estimating values of statistical lives using choice experiment method. Environ Resour Econ Rev 2007; 16(3): 683-702. (Korean)
  29. Shin YC. Estimating the value of statistical life by analysing disease protective behavior: focusing on medical examination of cancer. Environ Resour Econ Rev 2008; 17(4): 845-873. (Korean)
  30. Kang EJ, Kim NE, Kim DJ, Kim HR, Byun HC, Seo MJ, et al. In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey Part. Seoul: Korea Institute for Health and Social Affair: 2007. (Korean)
  31. Haninger K, Hammitt JK, Willingness to pay for quality adjusted life years: empirical inconsistency between costeffectiveness analysis and economic welfare theory. working paper 2006. [cited 2009 Oct 31]; Available from: URL: http://www.oecd.org/dataoecd/1/ 27/37585720.pdf.
  32. Hammitt jK, Haninger K. Willingness to pay for food safety: sensitivity to duration and severity of illness. Am J Agr Econ 2007; 89(5): 1170-1175. https://doi.org/10.1111/j.1467-8276.2007.01079.x
  33. Kahneman D, Knetsch JL. Valuing public coods: the purchase of moral satisfaction. J Environ Econ Manage 1992; 22(1): 57-70. https://doi.org/10.1016/0095-0696(92)90019-S
  34. Je SO, Ryoo E, Kim JJ, Yang HJ, Lee G, Hwang SY, et al. Effectiveness of the visual analogue scale (VAS) as a method of pain measurement in children and adolescents who visit the pediatric emergency department. J Korean Soc Emerg Med 2009; 20(2): 204-209. (Korean)
  35. Kim HJ, Rhee JN, Lee EK. Measuring utility weights with VAS, TTP and EQ-5D for severe stomach cancer. Yakhak Hoeji, 2008; 52(3): 176-181. (Korean)
  36. Viscusi WK, Aldy JE. The values of statistical life: a critical review of market estimates throughout the world. J Risk Uncertain 2003; 27(1): 5-76. https://doi.org/10.1023/A:1025598106257
  37. Lindsey JA. Chronic sequelae of foodborne disease. Emerg. Infect. Dis 1997; 3(4): 443-452. https://doi.org/10.3201/eid0304.970405
  38. National Health Insurance Corporation. 2008 National Health Insurance Statistical Yearbook. Seoul: National Health Insurance Corporation; 2009 (Korean)

피인용 문헌

  1. 2010년 일개 회사에서 집단발생한 바실루스 세레우스 식중독에 관한 역학조사 vol.44, pp.2, 2010, https://doi.org/10.3961/jpmph.2011.44.2.65
  2. Annual Cost of Illness and Quality-Adjusted Life Year Losses in the United States Due to 14 Foodborne Pathogens† vol.75, pp.7, 2010, https://doi.org/10.4315/0362-028x.jfp-11-417
  3. 도마의 재질별 식중독 원인균에 대한 항균효과 vol.44, pp.1, 2012, https://doi.org/10.9721/kjfst.2012.44.1.114
  4. 새로운 생균제 CS61 배양액의 사료 내 급여가 육계의 생산성에 미치는 영향 vol.22, pp.3, 2010, https://doi.org/10.5352/jls.2012.22.3.340
  5. The economic burden of the 2009 pandemic H1N1 influenza in Korea vol.45, pp.5, 2010, https://doi.org/10.3109/00365548.2012.749423
  6. Disease-Outcome Trees, EQ-5D Scores, and Estimated Annual Losses of Quality-Adjusted Life Years (QALYs) for 14 Foodborne Pathogens in the United States vol.11, pp.5, 2010, https://doi.org/10.1089/fpd.2013.1658
  7. Isothermal Target and Probe Amplification Assay for the Real-Time Rapid Detection of Staphylococcus aureus vol.78, pp.4, 2015, https://doi.org/10.4315/0362-028x.jfp-14-193
  8. Cost-of-illness and disease burden of food-related pathogens in the Netherlands, 2011 vol.196, pp.None, 2010, https://doi.org/10.1016/j.ijfoodmicro.2014.11.022
  9. Next steps to evidence-based food safety risk analysis: opportunities for health technology assessment methodology implementation vol.117, pp.3, 2010, https://doi.org/10.7896/j.1524
  10. 경기지역 학교 단체급식소 식품 및 환경 중 식중독균 분석 vol.44, pp.12, 2015, https://doi.org/10.3746/jkfn.2015.44.12.1895
  11. 식중독균 검출의 민감도 향상을 위한 Emulsion PCR 적용 vol.34, pp.1, 2010, https://doi.org/10.22424/jmsb.2016.34.1.43
  12. 현행 식품접객업소 조리식품 위생관리 기준 보완에 관한 전문가 의견 vol.49, pp.3, 2010, https://doi.org/10.4163/jnh.2016.49.3.201
  13. HACCP 선행요건 기준을 활용한 중·소 외식업체 종사자의 위생관리 중요도·수행도 분석 vol.45, pp.10, 2010, https://doi.org/10.3746/jkfn.2016.45.10.1497
  14. Identification of environmental determinants for spatio-temporal patterns of norovirus outbreaks in Korea using a geographic information system and binary response models vol.569, pp.None, 2010, https://doi.org/10.1016/j.scitotenv.2016.06.144
  15. Corosolic acid에 의한 Staphylococcus aureus의 생장 및 생물막 형성 저해 vol.49, pp.2, 2010, https://doi.org/10.9721/kjfst.2017.49.2.146
  16. The monetary value of human lives lost due to neglected tropical diseases in Africa vol.6, pp.1, 2010, https://doi.org/10.1186/s40249-017-0379-y
  17. Enforcement of Food Legislation and Its Impact on Food Safety: A Case Study on Food Law Enactment in Mauritius vol.8, pp.2, 2010, https://doi.org/10.4236/aim.2018.82008
  18. Campylobacter control measures in indoor broiler chicken: critical re-assessment of cost-utility and putative barriers to implementation vol.146, pp.11, 2010, https://doi.org/10.1017/s0950268818001528
  19. Does information on food safety affect consumers' acceptance of new food technologies? The case of irradiated beef in South Korea under a new labelling system and across different information regimes vol.64, pp.4, 2020, https://doi.org/10.1111/1467-8489.12393
  20. 국외 식중독으로 인한 손실비용 추정을 위한 항목 비교 연구 vol.36, pp.1, 2021, https://doi.org/10.13103/jfhs.2021.36.1.68