title: The Economic Burden of Hepatitis A, B, and C in South Korea.
abstract: The prevalence of hepatitis in South Korea is relatively high compared to that in other high-income countries. For this reason, viral hepatitis infection not only affects the population's health, but also impacts national healthcare costs. This study was performed in order to estimate the individual economic costs of the hepatitis A, B, and C viruses as well as to determine, using nationally representative data, the trends in South Korea with respect to these viruses during the 2008-2011 period. The study found that the prevalence of hepatitis A had decreased, but those of hepatitis B and C had increased overall. The mortality rate of hepatitis C was higher than that of the other two types. The mortality rate of hepatitis B had changed little, whereas that of hepatitis C had risen. The total cost of hepatitis A had decreased, from US $62.2 million to US $45.7 million, although a notable exception occurred in 2009, when the cost was US $126.6 million. Conversely, the total cost of hepatitis B had increased rapidly during the same period, from US $501.4 million to US $607.8 million. Finally, the total cost of hepatitis C had also increased from US $63.9 million to US $90.7 million. The direct costs of hepatitis A, B, and C were estimated to account for approximately 35.5%, 46.6%, and 58.0% of the total, respectively. These findings demonstrate the economic burden associated with hepatitis A, B, and C, and demonstrate the need to establish an effective prevention and management policy for future planning in South Korea.
authors.affiliation: School of Public Health, Seoul National University.
authors.forename: Changwoo
authors.initials: C
authors.lastname: Shon
authors.forename: Hyung-Yun
authors.initials: HY
authors.lastname: Choi
authors.forename: Jae-Jun
authors.initials: JJ
authors.lastname: Shim
authors.forename: So-Youn
authors.initials: SY
authors.lastname: Park
authors.forename: Kyung Suk
authors.initials: KS
authors.lastname: Lee
authors.forename: Seok-Jun
authors.initials: SJ
authors.lastname: Yoon
authors.forename: In-Hwan
authors.initials: IH
authors.lastname: Oh
mesh_terms: D000328:Adult; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs; D006506:Hepatitis A / Q000191:economics* / Q000453:epidemiology* / Q000401:mortality; D006509:Hepatitis B / Q000191:economics* / Q000453:epidemiology* / Q000401:mortality; D006526:Hepatitis C / Q000191:economics* / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D016019:Survival Analysis; D055815:Young Adult