• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.217-227
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• 2017

In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids.

• Annals of Occupational and Environmental Medicine
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• 제34권
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• pp.3.1-3.12
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• 2022

Background: Influenza illness causes several disruptions to the workforce. The absenteeism that often ensues has economic implications for employers. This study aimed to estimate the cost-benefit of influenza vaccination in a healthcare setting from the employer's perspective. Methods: A cross-sectional questionnaire survey was conducted in a private hospital in 2018-2019 comparing voluntary vaccinated with non-vaccinated employees with influenza vaccine. The analyses were made based on self-reporting on absenteeism and presenteeism from Influenza-like illnesses (ILIs). The costs incurred, both direct and indirect costs, were included in the study. A cost-benefit analysis was performed by measuring the cost of the vaccination program. The costs of absenteeism and reduced productivity were calculated using 3 hypothesised levels of effectiveness in the following percentage of productivity of 30%, 50%, and 70%. The costs were also calculated based on four scenarios: with and without operating income and with and without replacement. The benefits of the influenza vaccination from the employer's perspective were analysed. The benefit to cost ratio was determined. Results: A total of four hundred and twenty-one respondents participated. The influenza vaccination rate was 63.0%. The rate of ILI of 38.1% was significantly lower among vaccinated. The ILI-related absenteeism reported was also significantly lower amongst vaccinated employees at 30% compared to 70% non-vaccinated. Employers could save up to USD 18.95 per vaccinated employee when only labour cost was included or 54.0% of cost savings. The cost-saving rose to USD 155.56 when the operating income per employee was also included. The benefit to cost ratio confirmed that the net cost-benefit gained from the vaccination was more than the net cost of vaccination. Conclusions: Influenza vaccination for working adults was cost-saving and cost-beneficial when translated into financial investments for the employer. A workplace vaccination demonstrates a significant cost-benefit strategy to be applied in any institutional setting.

• 한국화예디자인학연구
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• 제43호
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• pp.57-79
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• 2020

본 연구는 원예치료 기반 직업재활 프로그램이 정신장애인의 정서 및 뇌파에 미치는 영향을 알아보고자 실시하였다. 연구는 경상북도 G시 보건소의 직업재활반 정신장애인 회원 3명을 대상으로 진행하였다. 연구 결과 대상자 모두 정적 정서는 증가, 부적 정서는 감소되었다. 뇌파 검사 결과 대상자 A는 세타파가 사전 17.27%, 사후 21.39%, 알파파가 사전 39.66%, 사후 49.02%, SMR파가 사전 13.53%, 사후 18.49%, 중간베타파가 사전 39.72%, 사후 41.53%로 증가, 베타파가 사전 27.53%, 사후 17.54%, 고베타파가 사전 46.75%, 사후 39.98%로 감소하였다. 대상자 B는 알파파가 29.70%, 사후 31.82%, 중간베타파가 사전 44.24%, 사후 65.76%로 증가, 고베타파가 사전 29.04%, 사후 9.09%로 감소하였다. 대상자 C는 알파파가 26.30%, 사후 49.42%, SMR파가 사전 19.86%, 사후 20.59%로 증가, 베타파가 사전 29.85%, 사후 16.13%로 감소하였다. 아이디어, 창조적 사고가 발생하는 세타파와 안정 상태, 집중, 학습에 몰두할 때 나타나는 알파파, SMR파, 중간베타파는 증가, 스트레스, 긴장, 불안 시 발생하는 베타파, 고베타파는 감소하였다. 수익금 분석 결과 대상자 A는 101,700원, 대상자 B는 81,000원, 대상자 C는 56,200원의 수익을 얻었다.

• Journal of Hospice and Palliative Care
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• 제5권2호
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• pp.101-110
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• 2002

Purpose : With the elongation of the average life span, the main causes of death are chronicle illness including cancers resulting in a large amount of medical resources. And there are still many patients to whom a sufficient medical care is not given. All these bring on the uneven distribution of medical resources together with the increase of medical cost. Hence, an efficient system should be set up to solve these problems. Methods : The hospice draws a great attention as a resolution of high medical cost and uneven medical resource distribution, and has been proved to be an alternative to the existing medical system. So, the characteristics of the hospice has been reviewed, particularly with respect to its scopes and related resources. And by tracking the actual cases, the necessary services and supports are investigated. Results : The intrinsic characteristics of hospice is that it executes not only the medical exercise but also all the subjects related with patients and their families. And the hospice is performed not only by the medical experts but also by all the disciplines including social and spiritual affairs. This indicates that the hospice requires the integrated system comprised of medical, social and other welfare entities. Conclusion : To establish the actual hospice, an efficient and systematic integration of all the existing medical and other welfare resources in the local society is necessary. The most practical way is the networking of resources, which practices the hospice more efficiently without additional investment.

• 대한예방한의학회지
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• 제15권3호
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• pp.115-125
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• 2011

Objectives : The aim of this study is to investigate the relevant factors which determine the use of oriental healthcare services among subjects with chronic illnesses. Method : This study utilized the data from the Korean National Health and Nutrition Examination Survey in 2005. Out of all the participants of the survey, 11,665 individuals who are older than 19 years old and have one or more chronic diseases were included in this study. Results : The factors that affect utilization of oriental healthcare services were significantly associated with gender, educational level, job, personal income, the number of chronic illnesses, experiences of nontreatment or delayed treatment and admission experiences for the last one year(p<.001). Although some of these factors need further studies, the determining factors for the use of oriental healthcare services are the presence of chronic illness and the number of chronic disease. That is, the chronically ill are more likely to seek oriental healthcare services. And the more chronic diseases the clients have the higher probability of seeking oriental healthcare services was found. Conclusions : The results suggest that the national integrated care services should be established for diverse development of policy regarding the quality of care of chronic illness and cost-effectiveness.

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.782-793
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• 2022

만성질환의 증가는 국민의 삶에 부정적인 영향을 미칠 뿐 아니라, 보건의료 기술의 향상, 평균 수명 증가, 급속한 인구고령화 등에 따른 의료이용으로 의료비 재정에 대한 부담을 가중시킨다. 이에 본 연구는 만성질환 중 대표질환인 고혈압을 중심으로 인구통계학적 정보에 따른 질환손실비의 차이 및 초기 진단 나이와 치료기간이 질환손실비에 주는 영향을 살펴보았다. 이를 위해 2010년부터 2017년까지의 한국의료패널조사를 이용하였으며, 30세에서 80세 미만의 건강보험적용대상자를 기준으로 대상자를 선정하였다. 선정된 데이터로 질병비용접근법에 따라 질환손실비의 직접비용과 간접비용을 계산했으며, 고혈압에 대한 진단 나이와 치료 시점을 고려해 질환손실비 코호트를 구축하였다. 연구 결과에 따르면 고혈압 환자의 연간 질환손실비는 성별에 따라 110,107원의 차이가 있었고, 치료 시점이 증가할수록 1.8배가량 비용이 증가하는 것으로 나타났다. 또한 같은 나이대 간 질환손실비 비교에서 60대와 70대의 질환손실비는 치료 시점 변수에 영향을 받는 것으로 나타났다. 본 연구를 통해 고혈압이 질병 비용에 큰 영향을 미치고 조기 진단 관리가 필요할 뿐만 아니라, 고혈압 질환의 발병률을 낮추기 위한 예방적 노력을 강화해야 한다는 점이 확인되었다.

• 한국식품위생안전성학회지
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• 제39권2호
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• pp.171-179
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• 2024

기존 질병비용연구(COI)에서 환자의 여가시간 손실에 따른 경제적 영향은 상대적으로 적은 관심을 받아왔다. 또한, 기존연구들은 주로 만성질환 또는 중질환에 초점을 맞췄으며, 이로 인해 입원환자나 외래환자가 아닌 상대적으로 증상이 약한 자가치료환자들에 대해서는 충분히 다루지 못했다는 한계를 가지고 있다. 이에 본 연구에서는 자가치료 환자들을 포함하고, 더 나아가 고용 상태와 실제 여가활동 중단 기간 등을 고려하여 식중독으로 인한 여가손실의 연간 비용을 계산하였다. 이 과정에서 건강과 노동에 관한 통계 자료를 활용하고, 식중독으로 인한 여가손실을 정확히 평가하는 방법을 제시하였다. 연구 결과, 국내에서 식중독으로 인한 여가 손실에 따른 연간 경제적 비용은 약 7,845억 원(7억 2,800만 USD)으로 나타났다. 본 연구에서는 자가 치료 환자들을 포함하지 않거나 치료 시간과 고용 상태를 고려하지 않은 경우, 여가손실비용이 낮게 추정될 가능성을 제시하고 있다. 즉, 식중독과 같은 질병의 사회적 영향을 평가할 때 자가 치료, 고용 상태, 그리고 영향받는 전체 기간을 포함한 다양한 요소를 고려하는 것이 중요하다는 것을 의미한다. 이 연구 결과는 정책 결정자와 의료 전문가들에게 질병의 경제적 영향을 보다 넓은 관점에서 이해하고, 보건의료 자원을 더 효과적으로 배분하는 데 도움이 될 수 있는 중요한 통찰을 제공한다.

• 한국사회복지학
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• 제48권
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• pp.150-178
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• 2002

The elderly have higher potential for contracting chronic diseases and suffering from development of a complication. Also, the extended old age period leads the elderly to demand more medical services. All those facts indicate that the elderly need more medical services than any other age groups. Consequently, medical care for the elderly with chronic diseases causes high costs burden. However, there is few studies researching the financial burden of chronic illness of the elderly. This study aimed to 1) understand how much the elderly with chronic diseases pay for medical expenses; 2) find out some specific factors related to health care financial burden; 3) suggest the alternative policies to decrease excessive financial burden of caring for the elderly with chronic illness. National Health and Nutrition Survey, which was surveyed by the Korea Institute for Health and Social Affairs in 1998, was used in this study. 4,707 persons with chronic diseases out of 5385 persons over age 60 were selectively sampled. Using SPSSWIN, correlation analysis, T-test, ANOVA and Regression were used as statistical methods in this study. Stepwise multiple regression was employed to analyze the data with a ratio of health care expenditure to income(financial burden) as a dependent variable. Out of Korean old people, 87% had the chronic diseases and their health care financial burden rate showed the average of 17.9%, which meaned they expended almost 20% income to buy medical services. The variables having a great influence on financial burden were monthly income, activity, limitation and single household of an old person. The excessive financial burden was experienced by people who had more than 4 activity limitations(37.1%) and were in the lowest Income level(32.6%), and single household of an old person(31.4%). The new policies should be considered to 1) reduce the financial burden in these groups and to develop the sliced medical cost system considering the characteristics of chronic illness and income level; and 2) develop the medical management system to care for the elderly with chronic illness.

• Journal of Preventive Medicine and Public Health
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• 제45권5호
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• pp.291-300
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• 2012

Objectives: We aimed to estimate the annual socioeconomic burden of coronary heart disease (CHD) in Korea in 2005, using the National Health Insurance (NHI) claims data. Methods: A prevalence-based, top-down, cost-of-treatment method was used to assess the direct and indirect costs of CHD (International Classification of Diseases, 10th revision codes of I20-I25), angina pectoris (I20), and myocardial infarction (MI, I21-I23) from a societal perspective. Results: Estimated national spending on CHD in 2005 was $2.52 billion. The majority of the spending was attributable to medical costs (53.3%), followed by productivity loss due to morbidity and premature death (33.6%), transportation (8.1%), and informal caregiver costs (4.9%). While medical cost was the predominant cost attribute in treating angina (74.3% of the total cost), premature death was the largest cost attribute for patients with MI (66.9%). Annual per-capita cost of treating MI, excluding premature death cost, was $3183, which is about 2 times higher than the cost for angina ($1556). Conclusions: The total insurance-covered medical cost ($1.13 billion) of CHD accounted for approximately 6.02% of the total annual NHI expenditure. These findings suggest that the current burden of CHD on society is tremendous and that more effective prevention strategies are required in Korea.

• Journal of Preventive Medicine and Public Health
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• 제42권4호
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• pp.251-260
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• 2009

Objectives : To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods : We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients and caregivers productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. Results : A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. The total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. The per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. The total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. Conclusions : Stroke is a leading public health problem in Korea in terms of the economic burden. The indirect costs were identified as the largest component of the overall cost.