J Prev Med Public Health.
2007 May;40(3):227-232. 10.3961/jpmph.2007.40.3.227.
Medical Expenditure of National Health Insurance Attributable to Smoking among the Korean Population
- Affiliations
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- 1Department of Health Policy and Management, Medical College, Cheju National University, Jeju, Korea. jsunha@yumc.yonsei.ac.kr
- 2Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.
- 3Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.
- 4Metabolic Syndrome Research Initiative, Seoul, Korea.
- 5Department of Preventive Medicine, Medical College, Cheju National University, Jeju, Korea.
- 6Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
- 7Korean Association of Smoking and Health, Seoul, Korea.
- KMID: 792481
- DOI: http://doi.org/10.3961/jpmph.2007.40.3.227
Abstract
- OBJECTIVES: The purpose of this study was to determine the population-attributable risk (PAR) and estimate the total medical expenditure of the Korean National Health Insurance (KNHI) due to smoking. METHODS: We used data from the Korean Cancer Prevention Study of 1,178,138 Koreans aged 30 to 95. These data were available from 1992 to 2003 and covered a long-term follow-up period among the Korean population. RESULTS: The total medical expenditure of KNHI related to smoking increased by 27% from $324.9 million in 1999 to $413.7 million in 2003. By specific diseases, smokingattributable KNHI medical expenditure was the highest for lung cancer ($74.2 million), followed by stroke ($65.3 million), COPD ($50.1 million), CHD ($49 million) and stomach cancer ($30 million). A total of 1.3 million KNHI patients were suffering from smoking-related diseases in 2003. We predicted rises in total KNHI medical expenditure related to smoking to $675.1 million (63% increase compared with that of 2003) and in the total number of KNHI patients suffering from smoking-related diseases to about 2.6million (an approximate 100% increase compared with those in 2003) in 2015. CONCLUSIONS: We found a substantial economic burden related to the high smoking prevalence in South Korea.
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