Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.

BACKGROUND: Although the socioeconomic burden of 2009 pandemic influenza A (H1N1) was considerable, no reliable estimates have been reported. Our aim was to compared medical costs and socioeconomic burden resulting from pandemic influenza A (H1N1) 2009 with that of previous seasonal influenza. METHO...

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Main Authors: Mina Suh, Dae Ryong Kang, Dong Han Lee, Yoon Jung Choi, Byongho Tchoe, Chung Mo Nam, Hyung Jung Kim, Jong Koo Lee, Byung Yool Jun, Yoosik Youm, Gwi-Nam Bae, Tae Yong Lee, Moon Shik Kim, Dong Chun Shin, Changsoo Kim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3873972?pdf=render
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author Mina Suh
Dae Ryong Kang
Dong Han Lee
Yoon Jung Choi
Byongho Tchoe
Chung Mo Nam
Hyung Jung Kim
Jong Koo Lee
Byung Yool Jun
Yoosik Youm
Gwi-Nam Bae
Tae Yong Lee
Moon Shik Kim
Dong Chun Shin
Changsoo Kim
author_facet Mina Suh
Dae Ryong Kang
Dong Han Lee
Yoon Jung Choi
Byongho Tchoe
Chung Mo Nam
Hyung Jung Kim
Jong Koo Lee
Byung Yool Jun
Yoosik Youm
Gwi-Nam Bae
Tae Yong Lee
Moon Shik Kim
Dong Chun Shin
Changsoo Kim
author_sort Mina Suh
collection DOAJ
description BACKGROUND: Although the socioeconomic burden of 2009 pandemic influenza A (H1N1) was considerable, no reliable estimates have been reported. Our aim was to compared medical costs and socioeconomic burden resulting from pandemic influenza A (H1N1) 2009 with that of previous seasonal influenza. METHODS: We estimated the medical costs and socioeconomic burden of influenza from May 2007 to April 2010. We used representative national data sources(data from the Health Insurance Review Agency, the National Health Insurance Corporation, the Korea Centers for Disease Control and Prevention, and the Korean National Statistics Office) including medical utilization, prescription of antivirals, and vaccination. Uncertainty of data was explored through sensitivity analysis using Monte Carlo simulation. RESULTS: Compared with the seasonal influenza, total medical costs (US$291.7 million) associated with pandemic (H1N1) 2009 increased more than 37-fold. Compared with the 2007-2008 season, outpatient diagnostic costs (US$135.3 million) were 773 times higher in the 2009-2010 season, and the mean diagnostic cost per outpatient visit was 58.8 times higher. Total socioeconomic burden of pandemic (H1N1) 2009 was estimated at US$1581.3 million (10%-90%: US$1436.0-1808.3 million) and those of seasonal influenza was estimated at US$44.7 million (10%-90%: US$32.4-57.9 million) in 2007-2008 season and US$42.3 million (10%-90%: US$31.5-53.8 million) in 2008-2009 season. Indirect costs accounted for 56.0% of total costs in pandemic (H1N1) 2009, and 66.48-68.09% in seasonal influenza. The largest contributors to total burden were productivity losses of caregiver in pandemic (H1N1) 2009, and productivity losses due to morbidity of outpatient in seasonal influenza. CONCLUSIONS: In the Republic of Korea, socioeconomic burden of pandemic (H1N1) 2009 were considerably higher than burden of the previous two influenza seasons, primarily because of high diagnostic costs and longer sick leave.
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spelling doaj.art-5549ab1667564f18b5b214e943a663192022-12-21T19:03:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01812e8412110.1371/journal.pone.0084121Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.Mina SuhDae Ryong KangDong Han LeeYoon Jung ChoiByongho TchoeChung Mo NamHyung Jung KimJong Koo LeeByung Yool JunYoosik YoumGwi-Nam BaeTae Yong LeeMoon Shik KimDong Chun ShinChangsoo KimBACKGROUND: Although the socioeconomic burden of 2009 pandemic influenza A (H1N1) was considerable, no reliable estimates have been reported. Our aim was to compared medical costs and socioeconomic burden resulting from pandemic influenza A (H1N1) 2009 with that of previous seasonal influenza. METHODS: We estimated the medical costs and socioeconomic burden of influenza from May 2007 to April 2010. We used representative national data sources(data from the Health Insurance Review Agency, the National Health Insurance Corporation, the Korea Centers for Disease Control and Prevention, and the Korean National Statistics Office) including medical utilization, prescription of antivirals, and vaccination. Uncertainty of data was explored through sensitivity analysis using Monte Carlo simulation. RESULTS: Compared with the seasonal influenza, total medical costs (US$291.7 million) associated with pandemic (H1N1) 2009 increased more than 37-fold. Compared with the 2007-2008 season, outpatient diagnostic costs (US$135.3 million) were 773 times higher in the 2009-2010 season, and the mean diagnostic cost per outpatient visit was 58.8 times higher. Total socioeconomic burden of pandemic (H1N1) 2009 was estimated at US$1581.3 million (10%-90%: US$1436.0-1808.3 million) and those of seasonal influenza was estimated at US$44.7 million (10%-90%: US$32.4-57.9 million) in 2007-2008 season and US$42.3 million (10%-90%: US$31.5-53.8 million) in 2008-2009 season. Indirect costs accounted for 56.0% of total costs in pandemic (H1N1) 2009, and 66.48-68.09% in seasonal influenza. The largest contributors to total burden were productivity losses of caregiver in pandemic (H1N1) 2009, and productivity losses due to morbidity of outpatient in seasonal influenza. CONCLUSIONS: In the Republic of Korea, socioeconomic burden of pandemic (H1N1) 2009 were considerably higher than burden of the previous two influenza seasons, primarily because of high diagnostic costs and longer sick leave.http://europepmc.org/articles/PMC3873972?pdf=render
spellingShingle Mina Suh
Dae Ryong Kang
Dong Han Lee
Yoon Jung Choi
Byongho Tchoe
Chung Mo Nam
Hyung Jung Kim
Jong Koo Lee
Byung Yool Jun
Yoosik Youm
Gwi-Nam Bae
Tae Yong Lee
Moon Shik Kim
Dong Chun Shin
Changsoo Kim
Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
PLoS ONE
title Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
title_full Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
title_fullStr Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
title_full_unstemmed Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
title_short Socioeconomic burden of influenza in the Republic of Korea, 2007-2010.
title_sort socioeconomic burden of influenza in the republic of korea 2007 2010
url http://europepmc.org/articles/PMC3873972?pdf=render
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