Osteoarthritis associated with high OOPcosts in SouthKorea

Osteoarthritis associated with high OOPcosts in SouthKorea PharmacoEconomics & Outcomes News 804, p24 - 2 Jun 2018 Osteoarthritis associated with high OOP costs in South Korea Osteoarthritis (OA) appears to be associated with catastrophic health expenditure (CHE) in households in South Korea (out-of-pocket [OOP] costs greater than 10%–40% of a household’s spending capacity), according to findings of a study published in the Journal of Korean Medical Science. Data from the 2013 Korea Health Panel Survey were used to estimate annual living expenses and OOP payments in households. Multivariable logistic analysis was used to investigate the impact of osteoarthritis on CHE; OOP payments of households with patients with osteoarthritis were compared with those in matched households with patients without osteoarthritis but with another chronic disease (cerebrovascular disease, diabetes mellitus, heart disease, hypertension, neoplasm or osteoporosis). 1289 households in each group were included in the study. Mean annual OOP payments were higher in households with than without osteoarthritis patients ($2789 vs $2607). Significantly more households with than without osteoarthritis patients had CHE at OOP thresholds of 10%, 20%, 30% and 40% (p<0.001). Osteoarthritis in a household significantly increased the risk of CHE at OOP thresholds of 10% (odds ratio [OR] 1.48; 95% CI 1.16, 1.87), 20% (OR 1.29; 95% CI 1.01, 1.66) and 30% (OR 1.37; 95% CI 1.05, 1.78), but had no significant effect on the risk of CHE at a threshold of 40% (OR 1.17; 95% CI 0.87, 1.57). "The OOP costs of hospitalization and drug use were higher in the households with OA patients than in those without OA patients," said the authors. "Policy makers should consider the economic burden of OA in the real world and investigate how to reduce extra medical costs incurred by OA patients under the current health care system," they said. Kim H, et al. Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea. Journal of Korean Medical Science 33: e161, No. 21, 12 May 2018. Available from: URL: http://doi.org/10.3346/ jkms.2018.33.e161 803324251 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png PharmacoEconomics & Outcomes News Springer Journals

Osteoarthritis associated with high OOPcosts in SouthKorea

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Publisher
Springer International Publishing
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Pharmacoeconomics and Health Outcomes; Quality of Life Research; Health Economics; Public Health
ISSN
1173-5503
eISSN
1179-2043
D.O.I.
10.1007/s40274-018-4988-x
Publisher site
See Article on Publisher Site

Abstract

PharmacoEconomics & Outcomes News 804, p24 - 2 Jun 2018 Osteoarthritis associated with high OOP costs in South Korea Osteoarthritis (OA) appears to be associated with catastrophic health expenditure (CHE) in households in South Korea (out-of-pocket [OOP] costs greater than 10%–40% of a household’s spending capacity), according to findings of a study published in the Journal of Korean Medical Science. Data from the 2013 Korea Health Panel Survey were used to estimate annual living expenses and OOP payments in households. Multivariable logistic analysis was used to investigate the impact of osteoarthritis on CHE; OOP payments of households with patients with osteoarthritis were compared with those in matched households with patients without osteoarthritis but with another chronic disease (cerebrovascular disease, diabetes mellitus, heart disease, hypertension, neoplasm or osteoporosis). 1289 households in each group were included in the study. Mean annual OOP payments were higher in households with than without osteoarthritis patients ($2789 vs $2607). Significantly more households with than without osteoarthritis patients had CHE at OOP thresholds of 10%, 20%, 30% and 40% (p<0.001). Osteoarthritis in a household significantly increased the risk of CHE at OOP thresholds of 10% (odds ratio [OR] 1.48; 95% CI 1.16, 1.87), 20% (OR 1.29; 95% CI 1.01, 1.66) and 30% (OR 1.37; 95% CI 1.05, 1.78), but had no significant effect on the risk of CHE at a threshold of 40% (OR 1.17; 95% CI 0.87, 1.57). "The OOP costs of hospitalization and drug use were higher in the households with OA patients than in those without OA patients," said the authors. "Policy makers should consider the economic burden of OA in the real world and investigate how to reduce extra medical costs incurred by OA patients under the current health care system," they said. Kim H, et al. Impact of Osteoarthritis on Household Catastrophic Health Expenditures in Korea. Journal of Korean Medical Science 33: e161, No. 21, 12 May 2018. Available from: URL: http://doi.org/10.3346/ jkms.2018.33.e161 803324251 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804

Journal

PharmacoEconomics & Outcomes NewsSpringer Journals

Published: Jun 2, 2018

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