Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Disability Weights for the Korean Burden of Disease Study : Focused on Comparison with Disability Weights in the Australian Burden of Disease Study

한국인 질병의 장애가중치 측정에 관한 연구 : 호주 장애가중치와의 측정 결과 비교를 중심으로 -

  • Yoon, Seok-Jun (Department of Korea University College of Medicine) ;
  • Lee, Jung-Kyu (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kwon, Young-Hoon (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Lee, Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kim, Chang-Yup (Department of Public Health, Seoul National University Graduate School of Public Health) ;
  • Park, Ki-Dong (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Do, Young-Kyung (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 이중규 (서울대학교 의과대학 의료관리학교실) ;
  • 권영훈 (서울대학교 의과대학 의료관리학교실) ;
  • 이상일 (울산대학교 의과대학 예방의학교실) ;
  • 김창엽 (서울대학교 보건대학원) ;
  • 박기동 (서울대학교 의과대학 의료관리학교실) ;
  • 김용익 (서울대학교 의과대학 의료관리학교실) ;
  • 신영수 (서울대학교 의과대학 의료관리학교실) ;
  • 도영경 (서울대학교 의과대학 의료관리학교실)
  • Published : 2004.03.01
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Abstract

Objectives: This study aimed to measure the disability weights for the Korean Burden of Disease study, and to compare them with those adopted in the Australian study to examine the validity and describe the distinctive features. Methods : The standardized valuation protocol was developed from the Global Burden of Disease (GBD) study and the Dutch Disability Weights study. Disability weights were measured for 123 diseases of the Korean version of Disease Classification by three panels of 10 medical doctors each. Then, overall distribution, correlation coefficients, difference by each disease, and mean of differences by disease group were analyzed for comparison of disability weights between the Korean and Australian studies. Results : Korean disability weights ranged from 0.037 to 0.927. While the rank correlation coefficient was moderate to high ($r_s$=0.68), Korean disability weights were higher than the corresponding Australian ones in 79.7% of the 118 diseases. Of these, war, leprosy, and most injuries showed the biggest differences. On the contrary, many infectious and parasitic diseases comprised the greater part of diseases of which Korean disability weights were lower. The mean of the differ ences was the highest in injuries of GBD disease groups, and in cardiovascular disease, injuries, and malignant neoplasm of the Korean disease category. Conclusions : Korean disability weights were found to be valid on the basis of overall distribution pattern and correlation, and are expected to be used as basic data for broadening the scope of burden of disease study. However, some distinctive features still remain to be explored in following studies.

Keywords

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