Kaiser Permanente Institute for Health Research, Denver, Colorado (Tabano, Drs Ritzwoller, Beck, Carroll); University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado (Tabano); Kaiser Permanente Washington Health Research Institute, Seattle, Washington (Drs Anderson, Fishman, Grossman); Department of Health Services University of Washington, Seattle, Washington (Drs Fishman, Grossman).
J Occup Environ Med. 2018 Nov;60(11):e569-e574. doi: 10.1097/JOM.0000000000001441.
We assessed the relationship between diabetes mellitus (DM) and measures of worker productivity, direct health care costs, and costs associated with lost productivity (LP) among health care industry workers across two integrated health care systems.
We used data from the Value Based Benefit Design Health and Wellness Study Phase II (VBD), a prospective study of employees surveyed across health systems. Survey and health care utilization data were linked to estimate LP and health care utilization costs.
Mean marginal lost productive time per week was 0.56 hours higher for respondents with DM. Mean adjusted monthly total health care utilization costs were $467 higher for respondents with DM.
The impact of DM is reflected in higher rates of LP and higher indirect costs for employers related to LP and higher health care resource use.
我们评估了糖尿病（DM）与医疗保健行业工人的工作效率衡量指标、直接医疗保健成本以及与生产力损失（LP）相关成本之间的关系，这是在两个综合性医疗保健系统中进行的。
我们使用了来自基于价值的福利设计健康与健康研究二期（VBD）的数据，这是一项针对医疗系统内员工的前瞻性研究。调查和医疗保健使用数据被联系起来，以估计 LP 和医疗保健使用成本。
患有 DM 的受访者每周边际失去的生产时间平均高出 0.56 小时。患有 DM 的受访者每月调整后的总医疗保健利用成本高出 467 美元。
DM 的影响反映在 LP 更高的发生率和与 LP 以及更高的医疗保健资源使用相关的雇主间接成本更高。
