Koopmanschap M A, Rutten F F, van Ineveld B M, van Roijen L
Institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands.
J Health Econ. 1995 Jun;14(2):171-89. doi: 10.1016/0167-6296(94)00044-5.
A new approach for estimating the indirect costs of disease, which explicitly considers economic circumstances that limit production losses due to disease, is presented (the friction cost method). For the Netherlands the short-term friction costs in 1990 amount to 1.5-2.5% of net national income (NNI), depending on the extent to which short-term absence from work induces production loss and costs. The medium-term macro-economic consequences of absence from work and disability reduce NNI by an additional 0.8%. These estimates are considerably lower than estimates based on the traditional human capital approach, but they better reflect the economic impact of illness.
本文提出了一种估算疾病间接成本的新方法（摩擦成本法），该方法明确考虑了限制疾病导致生产损失的经济状况。对于荷兰而言，1990年的短期摩擦成本相当于国民净收入（NNI）的1.5%-2.5%，具体取决于短期缺勤导致生产损失和成本的程度。缺勤和残疾的中期宏观经济后果使国民净收入再减少0.8%。这些估计值远低于基于传统人力资本方法的估计值，但它们能更好地反映疾病的经济影响。
