[Analysis of state costs of the social security benefits provided to the insured presenting with lung cancer and pulmonary diseases caused by external factors].
Lung cancer and pneumoconioses constitute two serious problems of contemporary medicine and a public health system.


OBJECTIVE
To analyze the costs associated with social security benefits provided to the insured presenting with lung cancer and pulmonary diseases (including pneumoconioses) caused by external factors.


METHODS
The analysis was based on the data obtained from the Department of Statistics and Actuarial Forecasts of the Social Insurance Institution (SlI) in Warsaw. Structural diversity of the costs of the separate benefits available within the national health insurance system has been considered. Based on the data available in Poland costs associated with the incidence of lung cancer and pneumoconiosis were assessed taking into account sex and age of the insured as well as the administrative division of Poland. Additionally, mortality rates from the selected pulmonary diseases were analyzed.


RESULTS
Costs of the pensions paid to the insured presenting with lung cancer amount to 81.11% of the total social security costs associated with these diseases, while the sick leave money paid to the insured lung cancer patients equal to 15.5% of the total costs. In the insured women, costs of the pensions paid due to occupational pulmonary diseases (predominantly pneumoconioses) constitute 41.1% and in the insured men--11.5% of the total 'occupational' pensions.


CONCLUSIONS
Although the maximal incidence of lung cancer occurs in both men and women above their retirement ages the costs of the work incapacity pensions paid to lung cancer patients still exceed 81% of the total social security costs associated with these diseases. In the insured women, the cost of pensions paid due to occupational pulmonary diseases, most of which are pneumoconioses, ranks first among the costs of 'occupational' pensions received by these subjects, while in the insured men the respective cost ranks third (after injuries plus intoxications and cardiovascular diseases) among their 'occupational' pensions. Moreover, the results of the performed analyses indicate that data on the social insurance money allow to comprehensively evaluate the health status of the insured men and women as well as their quality of life and therapeutical, rehabilitational and prophylactic needs. These data can and should, therefore, be utilized in both clinical practice and for accomplishment of the public health tasks.
Social Insurance Institution, Warsaw, Poland. janiak.m@aster.pl
Dorota
D
Kuklińska-Janiak
D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000191:economics* / Q000401:mortality; D008175:Lung Neoplasms / Q000191:economics / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000191:economics*; D010415:Pensions / Q000706:statistics & numerical data; D011009:Pneumoconiosis / Q000191:economics / Q000401:mortality; D011044:Poland / Q000453:epidemiology; D012179:Retirement / Q000191:economics; D012943:Social Security / Q000191:economics*; D015996:Survival Rate; D055815:Young Adult