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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: Osteoporosis and attributable fractures are disruptive health events that can cause short and long-term cost consequences for families, health service and government. In this fracture-based scenario analysis we evaluate the broader public economic consequences for the Korean government based on fractures that can occur at 3 different ages. Methods: We developed a public economic modelling framework based on population averages in Korea for earnings, direct taxes, indirect taxes, disability payments, retirement, pension payments, and osteoporosis health costs. Applying a scenario analysis, we estimated the cumulative average per person fiscal consequences of osteoporotic fractures occurring at different ages 55, 65, and 75 compared to average non-fracture individuals of comparable ages to estimate resulting costs for government in relation to lost tax revenue, disability payments, pension costs, and healthcare costs. All costs are calculated between the ages of 50 to 80 in Korean Won (KRW) and discounted at 0.5%. Results: From the scenarios explored, fractures occurring at age 55 are most costly for government with increased disability and pension payments of KRW 26,048,400 and KRW 41,094,206 per person, respectively, compared to the non-fracture population. A fracture can result in reduction in lifetime direct and indirect taxes resulting in KRW 53,648,886 lost tax revenue per person for government compared to general population. Conclusions: The fiscal consequences of osteoporotic fractures for government vary depending on the age at which they occur. Fiscal benefits for government are greater when fractures are prevented early due to the potential to prevent early retirement and keeping people in the labor force to the degree that is observed in non-fracture population.
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참고문헌 (38)
참고문헌 신청
The International Osteoporosis Foundation / 2019 / Broken bones, broken lives: A roadmap to solve the fragility fracture crisis in Europe / The International Osteoporosis Foundation
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733
Goel A / 2018 / Cost-effectiveness of generic pan-genotypic sofosbuvir/velpatasvir versus genotype-dependent direct-acting antivirals for hepatitis C treatment / J Gastroenterol Hepatol 33:2029~2036
Ching-Lung Cheung / 2018 / An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study / Osteoporosis and Sarcopenia 4(1):16~21
Mithal A / 2012 / Osteoporosis in Asia: a call to action / Curr Osteoporos Rep 10:245~247
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733
Goel A / 2018 / Cost-effectiveness of generic pan-genotypic sofosbuvir/velpatasvir versus genotype-dependent direct-acting antivirals for hepatitis C treatment / J Gastroenterol Hepatol 33:2029~2036
Ching-Lung Cheung / 2018 / An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study / Osteoporosis and Sarcopenia 4(1):16~21
Mithal A / 2012 / Osteoporosis in Asia: a call to action / Curr Osteoporos Rep 10:245~247
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