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2006-2016 年波兰间接成本和护理人员短期旷工的发生率。

Indirect costs and incidence of caregivers' short-term absenteeism in Poland, 2006-2016.

机构信息

Department of Public Health, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, ul. Sandomierska 16, 85-830, Bydgoszcz, Poland.

出版信息

BMC Public Health. 2019 May 17;19(1):598. doi: 10.1186/s12889-019-6952-5.

Abstract

BACKGROUND

There is a growing interest in the costs of informal care; however, the results of previous studies mostly rely on self-reported data, which is subject to numerous biases. The aim of this study is to contribute to the topic by estimating the indirect costs of short-term absenteeism associated with informal caregiving in Poland with the use of social insurance data on care absence incidence.

METHODS

The human capital method was used to estimate the indirect costs of caregiving from a societal perspective. The incidence of caregiving was identified based on the Social Insurance Institution's data on absence days attributable to care provided to children and other family members. Gross domestic product (GDP) per worker was used as a proxy of labour productivity. Deterministic one-way sensitivity analysis was performed.

RESULTS

The indirect costs of short-term caregivers' absenteeism in Poland was €306.2 million (0.116% of GDP) in 2006 and increased to €824.0 million in 2016 (0.180% of GDP). The number of care absence days grew from 5.9 million (0.45 days per worker) in 2006 to 10.6 million (0.70 days per worker) in 2016. Approximately 85% of the total costs were attributable to child care. The results of the sensitivity analysis show that the indirect costs varied from the base scenario by - 30.8 to + 15.8%.

CONCLUSION

Informal short-term caregiving leads to substantial productivity losses in the Polish economy, and the dynamic upward trend of care absence incidence suggests that the costs of caregiving are expected to rise in the future.

摘要

背景

人们对非正式护理成本越来越感兴趣;然而,以前的研究结果主要依赖于自我报告的数据,这些数据存在许多偏差。本研究旨在通过利用社会保险关于护理缺勤发生率的数据来估计与波兰非正式护理相关的短期旷工的间接成本,为该主题做出贡献。

方法

从社会角度出发,采用人力资本法来估算护理的间接成本。根据社会保险机构关于因照顾子女和其他家庭成员而缺勤的天数数据,确定护理发生的情况。人均国内生产总值(GDP)被用作劳动生产率的代理。进行确定性单因素敏感性分析。

结果

2006 年,波兰短期护理人员旷工的间接成本为 3.062 亿欧元(占 GDP 的 0.116%),2016 年增至 8.240 亿欧元(占 GDP 的 0.180%)。护理缺勤天数从 2006 年的 590 万天(每名工人 0.45 天)增加到 2016 年的 1060 万天(每名工人 0.70 天)。总成本的约 85%归因于儿童护理。敏感性分析的结果表明,间接成本在基础情景的基础上变化了-30.8%至+15.8%。

结论

非正式短期护理导致波兰经济生产力大量损失,且护理缺勤发生率呈动态上升趋势,表明未来护理成本预计将会上升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b9/6525462/e32410b378ba/12889_2019_6952_Fig1_HTML.jpg

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