Economic burden from smoking-related diseases in Thailand
Autor: | Suchunya Aungkulanon, Nuttapat Makka, Kanitta Bundhamcharoen, Kenji Shibuya |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Health (social science) Adolescent Total cost media_common.quotation_subject Population Disease Efficiency 03 medical and health sciences Young Adult 0302 clinical medicine Cost of Illness Environmental health Surveys and Questionnaires Health care Absenteeism medicine Prevalence Humans 030212 general & internal medicine education Socioeconomic status media_common COPD education.field_of_study 030505 public health business.industry Smoking Public Health Environmental and Occupational Health Health Care Costs Middle Aged medicine.disease Thailand Income Female Health Expenditures 0305 other medical science business Welfare |
Zdroj: | Tobacco control. 25(5) |
ISSN: | 1468-3318 |
Popis: | Objective To assess economic burden attributable to smoking in Thailand in 2009. Methods A prevalence-based, disease-specific cost of illness approach was used to estimate the direct medical costs, indirect medical costs, productivity loss due to premature deaths and absenteeism caused by smoking-related diseases. Direct healthcare costs were obtained from the inpatient and outpatient charge database at the National Health Security Office and the Central Office for Healthcare Information. Indirect healthcare costs were obtained from the Health and Welfare Survey. The household Socioeconomic Survey provided data on income of the population. Costs were estimated for 7 disease groups, namely, lung cancer, chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD), upper aerodigestive tract cancer, other cancer, other respiratory diseases and other medical conditions. Smoking Attributable Fractions were derived from the 2009 Thai Burden of Disease study. Results Total economic burden of smoking amounted to 74.88 billion Thai Baht (THB) (95% CI 74.59 to 75.18) (US$2.18, 95% CI US$2.17 to US$2.19 billion). Of this, most of the burden resulted from productivity loss 62.24 billion THB (95% CI 62.05 to 62.44) (US$1.81, 95% CI US$1.81 to US$1.82 billion). Total medical cost was 12.64 billion THB (12.44 to 12.85) (US$0.37, 95% CI US$0.36 to US$0.37 billion). Excluding other medical conditions, the direct healthcare costs were highest for CVD, followed by COPD and other respiratory diseases, respectively. All together, the total cost of smoking accounted for 0.78% (95% CI 0.78% to 0.79%) of the national gross domestic product and about 18.19% (95% CI 18.12% to 18.27%) of total health expenditure. Conclusions The total economic loss from smoking-related diseases highlights the significant loss to the society, health sector and the country9s economy. Such information is crucial for informing national public health policy, particularly when a conflict arises between the economy and health. |
Databáze: | OpenAIRE |
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