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私营部门骨关节炎患者的直接和间接经济成本。

Direct and indirect economic costs among private-sector employees with osteoarthritis.

机构信息

Policy Analysis, Inc, Brookline, MA 02445, USA.

出版信息

J Occup Environ Med. 2011 Nov;53(11):1228-35. doi: 10.1097/JOM.0b013e3182337620.

Abstract

OBJECTIVE

To estimate direct and indirect economic costs among private-sector employees with osteoarthritis (OA).

METHODS

Using a large US employer benefits database, we identified all employees with evidence of OA during calendar year 2007, and compared their costs of health care and work loss to age-and-sex-matched employees without evidence of OA in that year.

RESULTS

Private-sector employees with OA (n = 2399) averaged 62.9 days of absenteeism versus 36.7 days among matched comparators (n = 2399) (P < 0.01). Mean total direct costs among these persons were $17,751 and $5057, respectively (P < 0.01); 34% of health care costs among persons with OA arose from medical encounters with listed diagnoses of OA. Mean total indirect costs were two-fold higher among persons with OA ($5002 versus $2120 for those without OA; P < 0.01).

CONCLUSIONS

Private-sector employees with OA have higher direct and indirect costs than those without this condition.

摘要

目的

估算私营部门骨关节炎(OA)患者的直接和间接经济成本。

方法

我们使用美国大型雇主福利数据库,确定了 2007 年有 OA 证据的所有员工,并将他们的医疗保健和工作损失成本与当年没有 OA 证据的年龄和性别匹配的员工进行了比较。

结果

私营部门 OA 患者(n=2399)平均缺勤 62.9 天,而匹配对照者(n=2399)平均缺勤 36.7 天(P<0.01)。这些人总直接成本的平均值分别为 17751 美元和 5057 美元(P<0.01);OA 患者的医疗保健费用中有 34%来自 OA 列出诊断的医疗接触。OA 患者的总间接成本是没有 OA 患者的两倍(OA 患者为 5002 美元,而没有 OA 患者为 2120 美元;P<0.01)。

结论

私营部门 OA 患者的直接和间接成本高于没有这种情况的患者。

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