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治疗抑郁症患者的生产力相对健康对照组的损失。

Productivity losses among treated depressed patients relative to healthy controls.

机构信息

Thomson Reuters, 4301 Connecticut Avenue NW, Suite 330, Washington, DC 20008, USA.

出版信息

J Occup Environ Med. 2010 Feb;52(2):125-30. doi: 10.1097/JOM.0b013e3181ce10a8.

DOI:10.1097/JOM.0b013e3181ce10a8
PMID:20134346
Abstract

OBJECTIVES

Estimate the productivity-related cost of depression in an employed population.

METHODS

By using administrative data, annual short-term disability (STD) and absenteeism costs ($2005) were compared for patients with depression and treated with antidepressants and for a matched control group without depression.

RESULTS

Mean annual STD costs were $1038 among treated depressed patients versus $325 among controls and $1685 among a subgroup of severely depressed treated patients versus $340 among their controls. After controlling for demographic and employment characteristics, treated patients with depression had STD costs that were $356 higher per patient and those with severe depression had costs that were $861 higher. The marginal impact of treated depression on absenteeism was $377.

CONCLUSIONS

Even when depressed patients are treated with antidepressants, there are substantial productivity losses. Therapies that can better manage depression may provide opportunities for savings to employers.

摘要

目的

估算在职人群中抑郁症相关的生产力成本。

方法

通过使用行政数据,比较了患有抑郁症并接受抗抑郁药物治疗的患者与未患抑郁症且匹配对照组的年度短期残疾(STD)和旷工成本(2005 年美元)。

结果

治疗组中抑郁患者的平均年 STD 成本为 1038 美元,而对照组为 325 美元,重度抑郁治疗组为 1685 美元,而对照组为 340 美元。在控制了人口统计学和就业特征后,患有抑郁症的治疗患者的 STD 成本每人高出 356 美元,而患有严重抑郁症的患者的成本每人高出 861 美元。治疗抑郁症对旷工的边际影响为 377 美元。

结论

即使对抑郁患者进行了抗抑郁药物治疗,仍会导致大量生产力损失。能够更好地管理抑郁症的疗法可能为雇主节省成本提供机会。

相似文献

1
Productivity losses among treated depressed patients relative to healthy controls.治疗抑郁症患者的生产力相对健康对照组的损失。
J Occup Environ Med. 2010 Feb;52(2):125-30. doi: 10.1097/JOM.0b013e3181ce10a8.
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Assessing the relationship between compliance with antidepressant therapy and employer costs among employees in the United States.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。
J Occup Environ Med. 2010 Feb;52(2):115-24. doi: 10.1097/JOM.0b013e3181cb5b10.
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Depression in the workplace: negative effects, perspective on drug costs and benefit solutions.职场中的抑郁症:负面影响、药物成本视角及效益解决方案
Benefits Q. 2001;17(2):37-48.
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Impact of depression on work productivity and its improvement after outpatient treatment with antidepressants.抑郁对工作生产力的影响及其在门诊抗抑郁治疗后的改善。
Value Health. 2011 Jun;14(4):475-82. doi: 10.1016/j.jval.2010.11.006. Epub 2011 Apr 22.
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Current issues in the economics of depression management.抑郁症管理经济学中的当前问题。
Curr Psychiatry Rep. 1999 Dec;1(2):125-34. doi: 10.1007/s11920-999-0021-1.
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Promoting health and productivity for depressed patients in the workplace.提升职场中抑郁症患者的健康水平与工作效率。
J Manag Care Pharm. 2005 Apr;11(3 Suppl):S12-5. doi: 10.18553/jmcp.2005.11.3.S12.
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Direct and indirect costs of employees with treatment-resistant and non-treatment-resistant major depressive disorder.治疗抵抗和非治疗抵抗的重度抑郁症患者的直接和间接成本。
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引用本文的文献

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The Role of Mental Health on Workplace Productivity: A Critical Review of the Literature.心理健康对工作场所生产力的影响:文献综述。
Appl Health Econ Health Policy. 2023 Mar;21(2):167-193. doi: 10.1007/s40258-022-00761-w. Epub 2022 Nov 15.
2
Effectiveness of adjuvant occupational therapy in employees with depression: design of a randomized controlled trial.辅助职业疗法对抑郁症员工的有效性:一项随机对照试验的设计。
BMC Public Health. 2010 Sep 17;10:558. doi: 10.1186/1471-2458-10-558.