评估美国员工遵医嘱接受抗抑郁治疗与雇主成本之间的关系。

Assessing the relationship between compliance with antidepressant therapy and employer costs among employees in the United States.

机构信息

Analysis Group, Inc, 111Huntington Avenue 10th floor, Boston, MA 02199, USA.

出版信息

J Occup Environ Med. 2010 Feb;52(2):115-24. doi: 10.1097/JOM.0b013e3181cb5b10.

DOI:10.1097/JOM.0b013e3181cb5b10

PMID:20134337

Abstract

OBJECTIVE

To assess effects of antidepressant treatment compliance on health care and workplace costs.

METHODS

By using workplace survey data linked to two employers' health care claims, employees with depression/antidepressant claims were categorized into noncompliant/compliant groups. Annualized costs were compared between compliance groups, for the employees with antidepressant use and a subset diagnosed with depression.

RESULTS

Among antidepressant users (N = 1224), medical costs were not statistically different for compliant versus noncompliant patients; drug costs were higher for compliant patients, primarily because of antidepressants' costs. Similar associations were observed among depressed patients (N = 488). Absenteeism costs were lower for compliant patients with antidepressant use ($3857 vs $4,907, P = 0.041) and among depressed patients ($3976 vs $5899, P = 0.047). Presenteeism costs were higher for depressed compliant patients ($19,170 vs $15,829, P = 0.011).

CONCLUSIONS

Increased compliance with antidepressants is significantly associated with reduced absenteeism costs.

摘要

目的

评估抗抑郁药物治疗依从性对医疗保健和工作场所成本的影响。

方法

通过使用与两家雇主医疗保健索赔相关联的工作场所调查数据，将有抑郁/抗抑郁药物索赔的员工分为不依从/依从组。比较了在使用抗抑郁药物的员工和一部分被诊断为抑郁症的员工中，依从性组之间的年度成本。

结果

在使用抗抑郁药物的患者中（N=1224），依从性患者与不依从性患者的医疗费用无统计学差异；依从性患者的药物费用较高，主要是因为抗抑郁药物的费用。在抑郁症患者中（N=488）也观察到了类似的关联。使用抗抑郁药物的依从性患者的旷工成本较低（$3857 与$4907，P=0.041），抑郁症患者的旷工成本也较低（$3976 与$5899，P=0.047）。有抑郁症状的依从性患者的出勤成本较高（$19170 与$15829，P=0.011）。