Medical Expenditure Attributable to Overweight and Obesity in Adults with Hypertension, Diabetes and Dyslipidemia : Evidence from Korea National Health and Nutrition Examination Survey Data and Korea National Health Corporation Data

Abstract

= ABSTRACT =Objectives: This study was conducted to estimate medical expenditure attributable to overweight and obesity in adults with hypertension, diabetes and dyslipidemia using Korea National Health and Nutrition Examination survey data and Korea National Health Corporation data. Methods:The medical expenditure of hypertension, diabetes and dyslipidemia related to overweight and obesity were composed of inpatient care costs, outpatient care costs and medication costs. The population attributable risk (PAR) of overweight and obesity was calculated from national representative data of Korea such as the National Health Insurance Corporation cohort data and 2005 Korea National Health and Nutrition Examination survey data. Results:The medical expenditure attributable to overweight and obesity of hypertension were 456 billion won (men : 215 billion won, women : 241 billion won). Those of diabetes were 282 billion won (men : 148 billion won, women : 135 billion won), and of dyslipidemia were 17 billion won (men : 9 billion won, women : 8 billion won). Consequently, these costs corresponded to 33.3% of total medical expenditure due to hypertension, diabetes and dyslipidemia. Conclusions:We found a substantial medical expenditure due to overweight and obesity of hypertension, diabetes and dyslipidemia were very high. In order to reduce these costs, effective national strategies for prevention and management of overweight and obesity should be established and implemented.

Association between private health insurance and medical use by linking subjective health and chronic diseases

“…[33] As a result, there is a problem of hindering the equity and publicity of medical care, which is the goal pursued by the Ministry of Health and Welfare in Korea. [41] The results of a study that outpatient treatment of the PHI subscribers is longer than that of health insurance subscribers for >2 weeks are consistent with the current financial deterioration of the NHI Service, which is the biggest problem in Korea. [33] Therefore, this study intends to provide basic data to prevent the deterioration of insurance finances due to excessive medical treatment due to PHI.…”

“…[ 33 ] As a result, there is a problem of hindering the equity and publicity of medical care, which is the goal pursued by the Ministry of Health and Welfare in Korea. [ 41 ]…”

“…One key controversy surrounding PHI in Korea is its potential impact on health care utilization. [ 33 , 41 ] If a purchaser of supplementary PHI utilizes more health care services (due to decreased copayments under NHI), then PHI fiscally spills over on NHI, and there is an inequity in health care utilization between those who purchase PHI and those who do not. [ 14 ] Therefore, the government will have to redefine the role of PHI and NHI to enhance efficiency and equity in the health care sector and to relieve financial burdens.…”

Antidiabetic Effects of Gastric Banding Surgery in Morbidly Obese Patients with Type 2 Diabetes Mellitus

“…In particular, type 2 diabetes mellitus (T2DM) has a higher relative risk of obesity than hypertension or other obesity complications [ 7 ]. It has been reported that visfatin secreted from visceral adipocyte, is closely related to the induction of complications of T2DM by directly contributing to insulin resistance [ 8 ].…”