All issues > Volume 51(9); 2008

Original Article

Korean J Pediatr. 2008;51(9):977-986. Published online September 15, 2008.

The societal cost of rotavirus infection in South Korea

Bong Min BM Yang¹, Dae Sun DS Jo², Youn Hee YH Kim¹, Ji Min JM Hong¹, Jung Soo JS Kim²

¹School of Public Health, Seoul National University, Seoul
²Department of Pediatrics, Medical School, Chonbuk National University, Jeonju, Korea

Correspondence Jung Soo JS Kim ,Email: kimjp@moak.chonbuk.ac.kr

Abstract

Purpose
: This study aims to estimate the financial cost of rotavirus infection in Korea in the year of 2005.
Methods
: The incidence rates used were from the epidemiological profile at Jeoungeub District (5.8 cases/1,000 children <5 years old for inpatients, and 22.65 cases/1,000 children <5 years old for outpatients, per year). The health care cost per capita of rotavirus infection (ICD code: A08.0) was extracted from the Health Insurance Review and Assessment Service database in Korea. The patient survey was conducted to capture information about non-medical costs and associated productivity loss incurred by adult caregivers.
Results
: The number of annual national cases among children <5 years old with rotavirus infection was estimated to be 69,122 (i.e., 55,030 outpatients and 14,092 inpatients). The total cost of rotavirus infection was estimated at 13.3 billion Korean won, comprising 11 billion Korean won (82.7%) of direct medical costs, 1.6 billion Korean won (12.0%) of direct non- medical costs (e.g., transportation and supplies), and 0.68 billion Korean won (5.1%) of productivity lost by adult caregivers.
Conclusion
: Rotavirus infection carries not only medical costs but also non-medical and indirect costs; together, these costs incur a significant burden on South Korean society. The impact of rotavirus on quality of life and health among patient caregivers was not considered in this study, but it does merit further research.

Keywords :Rotavirus, Cost of illness, Health care costs, Korea