Browse > Article
http://dx.doi.org/10.3961/jpmph.2010.43.4.352

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

Shin, Ho-Sung (Korea Institute for Health and Social Affairs)
Lee, Sue-Hyung (Korea Institute for Health and Social Affairs)
Kim, Jong-Soo (Korea Food & Drug Administration)
Kim, Jin-Suk (Korea Food & Drug Administration)
Han, Kyu-Hong (Korea Food & Drug Administration)
Publication Information
Journal of Preventive Medicine and Public Health / v.43, no.4, 2010 , pp. 352-361 More about this Journal
Abstract
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.
Keywords
Food poisoning; Cost of illness; Quality-adjusted life years;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By SCOPUS : 5
연도 인용수 순위
1 Korea National Statistical Office. Inflation rate, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/.
2 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)
3 Ministry of Labor. Wage Structure Survey. [cited 2009 Oct 31]; Available from: URL: http://laborstat.molab. go.kr/
4 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)
5 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)
6 Choi JK. A Study on the Social Costs of Salmonella Foodborne Disease [dissertation], Seoul: Seoul National University; 2007. (Korean)
7 Buzby JC, Roberts T, Lin CTJ, MacDonald JM. Bacterial Food-borne Disease: Medical Costs and Productivity Losses: Agricultural Economics Reports; 1996.
8 Lee KI, Kim SH, Lee MH. Developing a Risk/Benefit Model for Food Safety Regulation. Seoul: Korea Food & Drug Administration; 2007. (Korean)
9 Yang BM. Health Care Economics. Seoul: NaNam Press; 1999. p.410-412. (Korean)
10 National Health Insurance Corporation. Survey on the benefit Coverage Rate of National Health Insurance in 2007. Seoul: National Health Insurance Corporation; 2008. (Korean)
11 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.   DOI
12 Scharff RL, McDowell J, Medeiros L. Economic cost of foodborne illness in Ohio. J Food Prot 2009; 72(1): 128-136.   DOI
13 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.   DOI   ScienceOn
14 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.   DOI
15 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)
16 Roberts JA, Sockett PN. The socio-eocnomic impact of salmonella enteritidis infection. Int J Food Microbiol 1994; 21(1-2): 117-129.   DOI   ScienceOn
17 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.
18 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.   DOI
19 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)
20 Crutchfield, SR, and Tanya R. Food safety efforts accelerate in the 1990's. Food Rev 2000; 23(3): 44-49.
21 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)
22 Lindsey JA. Chronic sequelae of foodborne disease. Emerg. Infect. Dis 1997; 3(4): 443-452.   DOI   ScienceOn
23 National Health Insurance Corporation. 2008 National Health Insurance Statistical Yearbook. Seoul: National Health Insurance Corporation; 2009 (Korean)
24 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)   과학기술학회마을
25 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.   DOI   ScienceOn
26 Kahneman D, Knetsch JL. Valuing public coods: the purchase of moral satisfaction. J Environ Econ Manage 1992; 22(1): 57-70.   DOI
27 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)
28 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.
29 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)
30 Shin YC. Estimating values of statistical lives using choice experiment method. Environ Resour Econ Rev 2007; 16(3): 683-702. (Korean)
31 Landefeld JS, Seskin EP. The economic value of life: linking theory to practice. Am J Public Health 1982; 72(6): 555-566.   DOI   ScienceOn
32 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)
33 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)
34 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)
35 Korea National Statistical Office. Cause of Death, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/.
36 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.   DOI
37 Lasher A. A Method to Estimate the Burden of Food-borne Illness, IRAC - Sponsored Public Conference November 16, 2007 in Washinton D.C.
38 Korea National Statistical Office. Economically Active Population Survey, [cited 2009 Oct 31]; Available from: URL: http://kosis.kr/