title: Economic burden of schizophrenia in South Korea.
abstract: This study estimates the treated prevalence of schizophrenia and the annual costs associated with the illness in Korea in 2005, from a societal perspective. Annual direct healthcare costs associated with schizophrenia were estimated from National Health Insurance and Medical Aid records. Annual direct non-healthcare costs were estimated for incarceration, transport, community mental health centers, and institutions related to schizophrenia. Annual indirect costs were estimated for the following components of productivity loss due to illness: unemployment, reduced productivity, premature mortality, and caregivers' productivity loss using a human capital approach based on market wages. All costs were adjusted to 2005 levels using the healthcare component of the Consumer Price Index. The treated prevalence of schizophrenia in 2005 was 0.4% of the Korean population. The overall cost of schizophrenia was estimated to be $ 3,174.8 million (3,251.0 billion Won), which included a direct healthcare cost of $ 418.7 million (428.6 billion Won). Total direct non-healthcare costs were estimated to be $ 121 million (123.9 billion Won), and total indirect costs were estimated at $ 2,635.1 million (2,698.3 billion Won). Unemployment was identified as the largest component of overall cost. These findings demonstrate that schizophrenia is not rare, and that represents a substantial economic burden.
authors.affiliation: Department of Psychiatry and Behavioral Science, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sung Man
authors.initials: SM
authors.lastname: Chang
authors.forename: Seong-Jin
authors.initials: SJ
authors.lastname: Cho
authors.forename: Hong Jin
authors.initials: HJ
authors.lastname: Jeon
authors.forename: Bong-Jin
authors.initials: BJ
authors.lastname: Hahm
authors.forename: Hyo Jung
authors.initials: HJ
authors.lastname: Lee
authors.forename: Jong-Ik
authors.initials: JI
authors.lastname: Park
authors.forename: Maeng Je
authors.initials: MJ
authors.lastname: Cho
mesh_terms: D000328:Adult; D000368:Aged; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs; D005102:Health Expenditures; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D018803:Models, Economic; D008962:Models, Theoretical; D015995:Prevalence; D012559:Schizophrenia / Q000191:economics* / Q000628:therapy*; D012680:Sensitivity and Specificity