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医护人员在中等强度季节性流感爆发期间的病假成本。

Cost of Sickness Absenteeism during Seasonal Influenza Outbreaks of Medium Intensity among Health Care Workers.

机构信息

Department of Public Health Sciences and Pediatrics, Università di Torino, via Santena 5 bis, 10126 Torino, Italy.

Department of Control and Computer Engineering, Politecnico di Torino, Corso Duca degli Abruzzi, 24, 10129 Torino, Italy.

出版信息

Int J Environ Res Public Health. 2019 Mar 1;16(5):747. doi: 10.3390/ijerph16050747.

Abstract

This study aims to estimate the economic costs of sickness absenteeism of health care workers in a large Italian teaching hospital during the seasonal flu periods. A retrospective observational study was performed. The excess data of hospital's sickness absenteeism during three seasonal influenza periods (2010/2011; 2011/2012; 2012/2013) came from a previous study. The cost of sickness absenteeism was calculated for six job categories: medical doctor, technical executive (i.e., pharmacists); nurses and allied health professionals (i.e., radiographer), other executives (i.e., engineer), non-medical support staff, and administrative staff, and for four age ranges: <39, 40⁻49, 50⁻59, and >59 years. An average of 5401 employees working each year were under study. There were over 11,100 working days/year lost associated with an influenza period in Italy, the costs associated were approximately 1.7 million euros, and the average work loss was valued at € 327/person. The major shares of cost appeared related to nurses and allied health professionals (45% of total costs). The highest costs for working days lost were reported in the 40⁻49 age range, accounting for 37% of total costs. Due to the substantial economic burden of sickness absenteeism, there are clear benefits to be gained from the effective prevention of the influenza.

摘要

本研究旨在估算意大利一家大型教学医院季节性流感期间医护人员病假缺勤造成的经济成本。这是一项回顾性观察研究。医院在三个季节性流感期间(2010/2011 年;2011/2012 年;2012/2013 年)的超额病假缺勤数据来自之前的一项研究。我们为六个职业类别(内科医生、技术主管(即药剂师)、护士和辅助卫生专业人员(即放射技师)、其他主管(即工程师)、非医疗支持人员和行政人员)和四个年龄范围(<39 岁、40-49 岁、50-59 岁和>59 岁)计算了病假缺勤的成本。每年平均有 5401 名员工参与研究。意大利季节性流感期间每年损失超过 11100 个工作日,相关成本约为 170 万欧元,平均每人损失 327 欧元。成本的主要部分与护士和辅助卫生专业人员(占总成本的 45%)有关。40-49 岁年龄组报告的工作损失成本最高,占总成本的 37%。由于病假缺勤造成的巨大经济负担,有效预防流感可带来明显的收益。

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