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

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article numbere84121
JournalPloS one
Volume8
Issue number12
DOIs
Publication statusPublished - 2013 Dec 27

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Republic of Korea
South Korea
influenza
Human Influenza
socioeconomics
Pandemics
pandemic
Costs and Cost Analysis
Costs
Health insurance
health insurance
Outpatients
Productivity
Disease control
Centers for Disease Control and Prevention
caregivers
Sick Leave
corporations
Information Storage and Retrieval
National Health Programs

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Suh, M., Kang, D. R., Lee, D. H., Choi, Y. J., Tchoe, B., Nam, C. M., ... Kim, C. (2013). Socioeconomic burden of influenza in the Republic of Korea, 2007-2010. PloS one, 8(12), [e84121]. https://doi.org/10.1371/journal.pone.0084121
Suh, Mina ; Kang, Dae Ryong ; Lee, Dong Han ; Choi, Yoon Jung ; Tchoe, Byongho ; Nam, Chung Mo ; Kim, Hyung Jung ; Lee, Jong Koo ; Jun, Byung Yool ; Youm, Yoosik ; Bae, Gwi Nam ; Lee, Tae Yong ; Kim, Moon Shik ; Shin, Dong Chun ; Kim, Changsoo. / Socioeconomic burden of influenza in the Republic of Korea, 2007-2010. In: PloS one. 2013 ; Vol. 8, No. 12.
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title = "Socioeconomic burden of influenza in the Republic of Korea, 2007-2010",
abstract = "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.",
author = "Mina Suh and Kang, {Dae Ryong} and Lee, {Dong Han} and Choi, {Yoon Jung} and Byongho Tchoe and Nam, {Chung Mo} and Kim, {Hyung Jung} and Lee, {Jong Koo} and Jun, {Byung Yool} and Yoosik Youm and Bae, {Gwi Nam} and Lee, {Tae Yong} and Kim, {Moon Shik} and Shin, {Dong Chun} and Changsoo Kim",
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Suh, M, Kang, DR, Lee, DH, Choi, YJ, Tchoe, B, Nam, CM, Kim, HJ, Lee, JK, Jun, BY, Youm, Y, Bae, GN, Lee, TY, Kim, MS, Shin, DC & Kim, C 2013, 'Socioeconomic burden of influenza in the Republic of Korea, 2007-2010', PloS one, vol. 8, no. 12, e84121. https://doi.org/10.1371/journal.pone.0084121

Socioeconomic burden of influenza in the Republic of Korea, 2007-2010. / Suh, Mina; Kang, Dae Ryong; Lee, Dong Han; Choi, Yoon Jung; Tchoe, Byongho; Nam, Chung Mo; Kim, Hyung Jung; Lee, Jong Koo; Jun, Byung Yool; Youm, Yoosik; Bae, Gwi Nam; Lee, Tae Yong; Kim, Moon Shik; Shin, Dong Chun; Kim, Changsoo.

In: PloS one, Vol. 8, No. 12, e84121, 27.12.2013.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Socioeconomic burden of influenza in the Republic of Korea, 2007-2010

AU - Suh, Mina

AU - Kang, Dae Ryong

AU - Lee, Dong Han

AU - Choi, Yoon Jung

AU - Tchoe, Byongho

AU - Nam, Chung Mo

AU - Kim, Hyung Jung

AU - Lee, Jong Koo

AU - Jun, Byung Yool

AU - Youm, Yoosik

AU - Bae, Gwi Nam

AU - Lee, Tae Yong

AU - Kim, Moon Shik

AU - Shin, Dong Chun

AU - Kim, Changsoo

PY - 2013/12/27

Y1 - 2013/12/27

N2 - 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.

AB - 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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Suh M, Kang DR, Lee DH, Choi YJ, Tchoe B, Nam CM et al. Socioeconomic burden of influenza in the Republic of Korea, 2007-2010. PloS one. 2013 Dec 27;8(12). e84121. https://doi.org/10.1371/journal.pone.0084121