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.
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.
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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