Background
Methods
Study design
Patient identification
Cost
Results
Epidemiology
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | |
---|---|---|---|---|---|---|
Prevalence | ||||||
Number of patients | 217,297 | 238,517 | 257,889 | 283,829 | 291,088 | 309,384 |
Prevalence per 1000 population | 4.5 | 5.0 | 5.3 | 5.9 | 6.0 | 6.4 |
Gender (%) | ||||||
Male | 130,004 | 143,556 | 157,692 | 173,582 | 179,530 | 192,317 |
% of male | 59.8% | 60.2% | 61.1% | 61.2% | 61.7% | 62.2% |
Age | ||||||
Over 60 | 128,528 | 143,745 | 155,569 | 174,423 | 183,408 | 198,212 |
% of over 60 | 59.1% | 60.3% | 60.3% | 61.5% | 63.0% | 64.1% |
Diagnosis | ||||||
UA | 97,522 | 108,926 | 121,625 | 140,008 | 148,491 | 160,395 |
MI | 119,775 | 129,591 | 136,264 | 143,821 | 142,597 | 148,989 |
Mortality | ||||||
Number of death | 9,863 | 9,935 | 11,236 | 10,659 | 9,929 | 9,831 |
Mortality per 100 000 population | 20.5 | 20.6 | 23.3 | 22.0 | 20.4 | 20.2 |
Diagnosis | ||||||
UA | 227 | 227 | 240 | 280 | 225 | 252 |
MI | 9,636 | 9,708 | 10,996 | 10,379 | 9,704 | 9,579 |
Medical utilization
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | |
---|---|---|---|---|---|---|
Total hospital visits | 494,226 | 543,033 | 597,739 | 695,024 | 733,313 | 786,827 |
Outpatient | 431,602 | 477,581 | 530,747 | 663,056 | 663,056 | 713,139 |
Inpatient | 62,619 | 65,444 | 66,971 | 73,124 | 70,232 | 73,654 |
Outpatient/Inpatient | 6.9 | 7.3 | 7.9 | 9.1 | 9.4 | 9.7 |
Total inpatient days | 449,660 | 457,618 | 452,187 | 510,564 | 484,354 | 487,323 |
Inpatient days per case | 7.18 | 6.99 | 6.75 | 6.98 | 6.90 | 6.62 |
Societal cost
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
NHI payments ($ million) | 208.7 | (100.0%) | 228.9 | (100.0%) | 280.4 | (100.0%) | 329.8 | (100.0%) | 312.1 | (100.0%) | 334.3 | (100.0%) |
Gender | ||||||||||||
Male | 134.3 | (64.4%) | 146.2 | (63.8%) | 182.5 | (65.1%) | 215.1 | (65.2%) | 204.0 | (65.4%) | 220.9 | (66.1%) |
Female | 74.4 | (35.6%) | 82.8 | (36.2%) | 97.9 | (34.9%) | 114.7 | (34.8%) | 108.1 | (34.6%) | 113.5 | (33.9%) |
Age | ||||||||||||
<60 | 141.2 | (36.3%) | 80.2 | (35.0%) | 99.2 | (35.4%) | 114.4 | (34.7%) | 106.0 | (33.9%) | 112.4 | (33.6%) |
≥60 | 133.0 | (63.7%) | 148.8 | (65.0%) | 181.1 | (64.6%) | 215.4 | (65.3%) | 206.1 | (66.1%) | 221.9 | (66.4%) |
Type | ||||||||||||
Inpatient | 175.5 | (84.1%) | 191.0 | (83.4%) | 235.8 | (84.1%) | 278.7 | (84.5%) | 261.8 | (83.9%) | 281.3 | (84.1%) |
Outpatient | 33.2 | (15.9%) | 38.0 | (16.6%) | 44.5 | (15.9%) | 51.1 | (15.5%) | 50.3 | (16.1%) | 53.0 | (15.9%) |
Diagnosis | ||||||||||||
Myocardial infarction | 132.0 | (63.3%) | 141.2 | (61.7%) | 171.2 | (61.0%) | 200.1 | (60.7%) | 193.8 | (62.1%) | 208.1 | (62.2%) |
Unstable angina | 76.7 | (36.7%) | 87.8 | (38.3%) | 109.2 | (39.0%) | 129.7 | (39.3%) | 118.2 | (37.9%) | 126.2 | (37.8%) |
Medical institutions | ||||||||||||
Tertiary hospitals | 122.6 | (58.7%) | 129.6 | (56.6%) | 149.1 | (53.1%) | 168.2 | (51.0%) | 156.2 | (50.0%) | 173.7 | (52.0%) |
General hospitals | 65.0 | (31.1%) | 74.7 | (32.6%) | 102.0 | (36.4%) | 126.9 | (38.5%) | 122.0 | (39.1%) | 124.7 | (37.3%) |
Hospitals | 2.1 | (1.0%) | 2.6 | (1.1%) | 3.3 | (1.2%) | 4.9 | (1.5%) | 5.3 | (1.7%) | 5.7 | (1.7%) |
Clinics | 0.7 | (0.3%) | 0.8 | (0.4%) | 0.9 | (0.3%) | 1.2 | (0.4%) | 1.3 | (0.4%) | 1.4 | (0.4%) |
Pharmacy | 18.4 | (8.9%) | 21.2 | (9.3%) | 25.1 | (9.0%) | 28.5 | (8.6%) | 27.3 | (8.8%) | 28.7 | (8.6%) |
Categories | ||||||||||||
Procedure and operation | 70.6 | (33.8%) | 76.8 | (33.6%) | 94.9 | (33.9%) | 112.1 | (34.0%) | 105.3 | (33.8%) | 113.2 | (33.9%) |
Radiography | 56.9 | (27.3%) | 62.0 | (27.1%) | 76.4 | (27.3%) | 90.2 | (27.4%) | 85.0 | (27.3%) | 91.3 | (27.3%) |
Pharmaceutical | 24.3 | (11.6%) | 27.7 | (12.1%) | 33.1 | (11.8%) | 37.9 | (11.5%) | 36.2 | (11.6%) | 38.3 | (11.4%) |
Examination | 22.1 | (10.6%) | 24.3 | (10.6%) | 29.5 | (10.5%) | 34.8 | (10.5%) | 33.3 | (10.7%) | 35.7 | (10.7%) |
Hospitalization | 17.2 | (8.2%) | 18.7 | (8.2%) | 23.1 | (8.2%) | 27.3 | (8.3%) | 25.7 | (8.2%) | 27.6 | (8.2%) |
Others | 17.6 | (8.5%) | 19.3 | (8.4%) | 23.4 | (8.3%) | 27.5 | (8.3%) | 26.6 | (8.4%) | 28.3 | (8.5%) |
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Societal costs ($ million) | 659.9 | (100.0%) | 718.1 | (100.0%) | 840.5 | (100.0%) | 880.6 | (100.0%) | 864.8 | (100.0%) | 918.2 | (100.0%) |
Direct costs | 272.4 | (41.2%) | 299 | (41.6%) | 364.8 | (43.4%) | 435.7 | (49.5%) | 402.8 | (46.6%) | 436.7 | (47.6%) |
Medical costs | 265.5 | (40.2%) | 291.2 | (40.5%) | 356.3 | (42.3%) | 425 | (48.3%) | 392.1 | (45.4%) | 425.3 | (46.3%) |
Inpatient | 227.6 | (34.5%) | 248 | (34.5%) | 305.8 | (36.3%) | 366.6 | (41.6%) | 334.8 | (38.7%) | 357.5 | (38.9%) |
Outpatient | 37.9 | (5.7%) | 43.2 | (6.0%) | 50.5 | (6.0%) | 58.4 | (6.7%) | 57.3 | (6.7%) | 67.8 | (7.4%) |
Non-medical costs | 6.9 | (1.0%) | 7.8 | (1.1%) | 8.5 | (1.1%) | 10.6 | (1.2%) | 10.7 | (1.2%) | 11.4 | (1.3%) |
Transportation | 4.2 | (0.6%) | 4.9 | (0.7%) | 5.5 | (0.7%) | 7.1 | (0.8%) | 7.2 | (0.8%) | 7.9 | (0.9%) |
Caregiving | 2.7 | (0.4%) | 2.9 | (0.4%) | 3 | (0.4%) | 3.5 | (0.4%) | 3.4 | (0.4%) | 3.5 | (0.4%) |
Indirect costs | 387.5 | (58.8%) | 419.1 | (58.4%) | 475.7 | (56.6%) | 444.9 | (50.5%) | 462 | (53.4%) | 481.5 | (52.4%) |
Lost wage due to morbidity | 10.3 | (1.6%) | 11.9 | (1.7%) | 13.9 | (1.7%) | 16.7 | (1.9%) | 16.9 | (2.0%) | 16 | (1.7%) |
Lost future income | 377.2 | (57.2%) | 407.3 | (56.7%) | 461.8 | (54.9%) | 428.2 | (48.6%) | 445.1 | (51.4%) | 465.6 | (50.7%) |