Abstract
Objective: To estimate the smoking attributable medical expenditures and productivity loss of people aged 35 and over in Taiwan in 2001 from a societal viewpoint.
Methods: A prevalence based approach was used to estimate smoking attributable costs. Epidemiological parameters were obtained from two follow up studies and government statistics. Data on medical care utilisation and expenditure were extracted from the National Health Insurance claim data.
Results: Total smoking attributable medical expenditures (SAEs) amounted to US$397.6 million, which accounted for 6.8% of the total medical expenditures for people aged 35 and over. Mean annual medical expenditures per smoker was US$70 more than that of each non-smoker. Smoking attributable years of potential life lost (YPLL) totalled to 217 761 years for males and 15 462 years for females, and the corresponding productivity loss was US$1371 million for males and US$18.7 million for females.
Conclusion: Medical expenditures attributable to smoking accounted for 6.8% of the total medical expenditure of people aged 35 and over for the year 2001 in Taiwan. Corresponding YPLL and productivity loss also demand that actions be taken to fight cigarette smoking.
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- Cutler David M., Gruber Jonathan, Hartman Raymond S., Landrum Mary Beth, Newhouse Joseph P., Rosenthal Meredith B. The economic impacts of the tobacco settlement. J Policy Anal Manage. 2002 Winter;21(1):1–19. doi: 10.1002/pam.1037. [DOI] [PubMed] [Google Scholar]
- Izumi Y., Tsuji I., Ohkubo T., Kuwahara A., Nishino Y., Hisamichi S. Impact of smoking habit on medical care use and its costs: a prospective observation of National Health Insurance beneficiaries in Japan. Int J Epidemiol. 2001 Jun;30(3):616–623. doi: 10.1093/ije/30.3.616. [DOI] [PubMed] [Google Scholar]
- Kang H. Y., Kim H. J., Park T. K., Jee S. H., Nam C. M., Park H. W. Economic burden of smoking in Korea. Tob Control. 2003 Mar;12(1):37–44. doi: 10.1136/tc.12.1.37. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lam T. H., He Y., Li L. S., Li L. S., He S. F., Liang B. Q. Mortality attributable to cigarette smoking in China. JAMA. 1997 Nov 12;278(18):1505–1508. [PubMed] [Google Scholar]
- Lam T. H., Ho S. Y., Hedley A. J., Mak K. H., Peto R. Mortality and smoking in Hong Kong: case-control study of all adult deaths in 1998. BMJ. 2001 Aug 18;323(7309):361–361. doi: 10.1136/bmj.323.7309.361. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Liaw K. M., Chen C. J. Mortality attributable to cigarette smoking in Taiwan: a 12-year follow-up study. Tob Control. 1998 Summer;7(2):141–148. doi: 10.1136/tc.7.2.141. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rice D. P., Hodgson T. A., Sinsheimer P., Browner W., Kopstein A. N. The economic costs of the health effects of smoking, 1984. Milbank Q. 1986;64(4):489–547. [PubMed] [Google Scholar]
- Shultz J. M., Novotny T. E., Rice D. P. Quantifying the disease impact of cigarette smoking with SAMMEC II software. Public Health Rep. 1991 May-Jun;106(3):326–333. [PMC free article] [PubMed] [Google Scholar]
- Warner K. E., Hodgson T. A., Carroll C. E. Medical costs of smoking in the United States: estimates, their validity, and their implications. Tob Control. 1999 Autumn;8(3):290–300. doi: 10.1136/tc.8.3.290. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warner K. E. The economics of tobacco: myths and realities. Tob Control. 2000 Mar;9(1):78–89. doi: 10.1136/tc.9.1.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wen Chi-Pang, Tsai Shan Pou, Chen Chien-Jen, Cheng Ting-Yuan. The mortality risks of smokers in Taiwan: Part I: cause-specific mortality. Prev Med. 2004 Sep;39(3):528–535. doi: 10.1016/j.ypmed.2004.02.010. [DOI] [PubMed] [Google Scholar]
- Zhang X., Miller L., Max W., Rice D. P. Cost of smoking to the Medicare program, 1993. Health Care Financ Rev. 1999 Summer;20(4):179–196. [PMC free article] [PubMed] [Google Scholar]