Department of Health Services Research, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Value Health. 2013 Jul-Aug;16(5):740-4. doi: 10.1016/j.jval.2013.03.1624. Epub 2013 May 15.
Productivity costs are usually estimated by multiplying the wage with the period absent. This can lead to an overestimation if compensation mechanisms occur. Until now only Dutch data are available on the influence of compensation mechanisms on lost productivity, but between-country differences in frequency and type of compensation mechanisms can be expected. The objective of this study was to understand whether compensation mechanisms for days absent from paid work differ in type and frequency across countries and to explore whether this would result in between-country differences in relevant lost productivity.
Data from a cross-sectional survey among respondents with rheumatic disorders from four countries were the basis for this study. Analyses focused on respondents with paid employment who reported absence in the last 3 months. The different compensation mechanisms are described and the resulting lost productivity in terms of days absent was calculated with and without taking compensation mechanisms into account. Logistic regression analyses were performed to examine which variables influence compensation mechanisms leading to relevant lost productivity.
The results indicate that compensation mechanisms occur and are relevant in all four countries. Between-country differences in the type and frequency of compensation mechanisms and relevant lost productivity were observed. The logistic regression analyses indicate that, correcting for other variables, this is also the case for the use of compensation mechanisms leading to relevant lost productivity.
Between-country differences in compensation mechanisms in case of absenteeism exist and could vary to such an extent that foreign relevant lost productivity data should be used with caution.
生产力成本通常通过将工资乘以缺勤时间来估算。如果存在补偿机制，这可能会导致高估。到目前为止，仅提供了有关荷兰补偿机制对生产力损失影响的数据，但可以预期不同国家之间的补偿机制的频率和类型存在差异。本研究的目的是了解在支付工作缺勤期间，补偿机制在类型和频率上是否存在国家间差异，并探讨这是否会导致国家间相关生产力损失的差异。
本研究的基础是来自四个国家的风湿性疾病患者的横断面调查数据。分析集中在报告过去 3 个月缺勤的有薪就业的受访者。描述了不同的补偿机制，并计算了考虑和不考虑补偿机制时缺勤导致的相关生产力损失。进行逻辑回归分析以检验哪些变量会影响导致相关生产力损失的补偿机制。
结果表明，补偿机制在所有四个国家都存在且相关。观察到国家间在补偿机制的类型和频率以及相关生产力损失方面存在差异。逻辑回归分析表明，在控制其他变量的情况下，这也适用于导致相关生产力损失的补偿机制的使用。
缺勤情况下的补偿机制在国家之间存在差异，并且差异可能如此之大，以至于应谨慎使用国外相关生产力损失数据。
