NHMRC Clinical Trials Centre, University of Sydney, Camperdown, NSW, Australia.
Int J Cardiol. 2013 Jun 5;166(1):68-71. doi: 10.1016/j.ijcard.2011.09.066. Epub 2011 Oct 20.
CVD has the ability to interrupt an individual's ability to participate in the labour force, and this can have considerable follow-up on impacts to both the individual and the state. This study aimed to quantify the personal cost of lost income and the cost to the state from lost income taxation, increased benefit payments and lost GDP as a result of early retirement due to CVD in Australians aged 45-64 in 2009.
Cross-sectional analysis of the base population of Health&WealthMOD, a microsimulation model built on data from the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers and STINMOD, an income and savings microsimulation model.
Individuals aged 45 to 64 years who have retired early due to CVD have a median value of total weekly income of only $268 whereas those who are employed full time are likely to have almost five times this. The national aggregate impact of CVD through the loss of labour force participation amongst 45 to 64 year olds, equated to around AU$1.1 billion in lost income, $AU225 million in lost income taxation revenue, AU$85 million in additional government benefit payments, and AU$748 million in lost GDP, in 2009 alone.
The costs of CVD to both individuals and the state are considerable. Whilst individuals bear the economic costs of lost income in addition to the burden of the condition itself, the state impacts are loss of productivity from reduced workforce participation, lost income taxation revenue, and increasing government support payments - in addition to direct health care costs.
心血管疾病（CVD）有能力中断个人参与劳动力的能力，这对个人和国家都会产生相当大的后续影响。本研究旨在量化由于 CVD，2009 年澳大利亚 45-64 岁人群提前退休导致的个人收入损失成本以及国家因收入所得税损失、福利支出增加和 GDP 损失的成本。
横断面分析 Health&WealthMOD 的基础人群，该模型是基于澳大利亚统计局残疾、老龄化和照顾者调查以及 STINMOD（收入和储蓄微观模拟模型）的数据构建的。
由于 CVD 提前退休的 45 至 64 岁人群的每周总收入中位数仅为 268 澳元，而全职就业的人群可能接近这个数字的五倍。仅 2009 年，由于 45 至 64 岁人群劳动力参与率下降导致 CVD 造成的全国总影响，相当于约 11 亿澳元的收入损失、2.25 亿澳元的所得税收入损失、8500 万澳元的政府额外福利支出以及 7.48 亿澳元的 GDP 损失。
CVD 给个人和国家带来的成本都相当大。虽然个人除了承担疾病本身的负担外，还承担着收入损失的经济成本，但国家的影响包括劳动力参与度降低导致的生产力损失、所得税收入损失以及政府支持支出的增加——除了直接的医疗保健成本。
