Ozminkowski Ronald J, Burton Wayne N, Goetzel Ron Z, Maclean Ross, Wang Shaohung
Institute for Health and Productivity Studies, Cornell University, New York, NY, USA.
J Occup Environ Med. 2006 Feb;48(2):135-48. doi: 10.1097/01.jom.0000194161.12923.52.
The objectives of this study were to estimate medical expenditures, absenteeism, and short-term disability costs for workers with rheumatoid arthritis (RA) and to estimate the relative costs of RA over a 12-month period.
Using data from nine U.S. employers, direct and indirect costs for 8502 workers with RA were compared with costs for a matched group without RA. Regression analyses controlled for factors that were different even after propensity score matching.
Average total costs for workers with RA were $4244 (2003 dollars) greater than for workers without RA. RA was the fourth most costly chronic condition per employee compared with cancers, asthma, bipolar disorder, chronic obstructive pulmonary disease, depression, diabetes, heart disease, hypertension, low back disorders, and renal failure.
RA is a costly disorder and merits consideration as interventions are considered to improve workers' health and productivity.
本研究的目的是估计类风湿性关节炎（RA）患者的医疗支出、旷工情况和短期残疾成本，并估计RA在12个月期间的相对成本。
利用来自9家美国雇主的数据，将8502名RA患者的直接和间接成本与一组匹配的非RA患者的成本进行比较。回归分析对即使在倾向得分匹配后仍存在差异的因素进行了控制。
RA患者的平均总成本比非RA患者高4244美元（2003年美元）。与癌症、哮喘、双相情感障碍、慢性阻塞性肺疾病、抑郁症、糖尿病、心脏病、高血压、下背部疾病和肾衰竭相比，RA是每位员工成本第四高的慢性病。
RA是一种成本高昂的疾病，在考虑改善员工健康和生产力的干预措施时值得关注。
