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一项基于人群的调查显示,与其他健康状况相比,照料治疗抵抗性抑郁症患者的照护者在工作场所的成本更高。

A Population-Based Survey of the Workplace Costs for Caregivers of Persons With Treatment-Resistant Depression Compared With Other Health Conditions.

机构信息

Tufts Medical Center Program on Health, Work and Productivity and Tufts University School of Medicine (Dr Lerner, Dr Adler, Dr Rogers); Tufts Graduate School of Biomedical Sciences (Dr Lerner, Dr Lavelle, Dr Adler, Dr Chang); Department of Psychiatry, Tufts Medical Center (Dr Lerner, Dr Adler); Tufts Medical Center, Center for Evaluation of Value and Risk in Health (Dr Lavelle), Boston, Massachusetts; Janssen Scientific Affairs, LLC, Titusville, NJ (Mr Chow); Employers Health Coalition, Inc. Canton, Ohio (Dr Godar).

出版信息

J Occup Environ Med. 2020 Sep;62(9):746-756. doi: 10.1097/JOM.0000000000001957.

Abstract

OBJECTIVE

To describe caregiving work outcomes and related indirect (ie, productivity) and direct (ie, caregiving hours and expenses) costs.

METHODS

A national, population-based survey to identify employed caregivers assisting a person with treatment-resistant depression (TRD) and a comparison group of employed caregivers assisting others (No TRD).

RESULTS

Screening identified 169 TRD caregivers and 1070 No TRD caregivers providing 23.3 and 14.6 mean weekly caregiving hours, respectively. Adjusted annual indirect cost estimates were $11,121 for caregivers of TRD and $7761 for caregivers in the No TRD group (P ≤ 0.0001). At-work productivity loss (presenteeism) was the largest component. Adjusted annual direct cost estimates were $29,805 for caregivers of TRD and $20,642 for caregivers in the No TRD group (P ≤ 0.0001).

CONCLUSIONS

TRD exacts a toll on caregivers and their employers exceeding that for other caregivers.

摘要

目的

描述照护工作的结果,以及相关的间接(即生产力)和直接(即照护时间和费用)成本。

方法

一项全国性的基于人群的调查,旨在确定有治疗抵抗性抑郁症(TRD)的患者的在职照护者和有其他患者的在职照护者的比较组。

结果

筛查出 169 名 TRD 照护者和 1070 名无 TRD 照护者,分别提供每周 23.3 和 14.6 小时的平均照护时间。调整后的年度间接成本估计分别为 TRD 照护者的 11121 美元和无 TRD 照护者的 7761 美元(P ≤ 0.0001)。工作中的生产力损失(出勤)是最大的组成部分。调整后的年度直接成本估计分别为 TRD 照护者的 29805 美元和无 TRD 照护者的 20642 美元(P ≤ 0.0001)。

结论

TRD 对照护者及其雇主造成的损失超过了其他照护者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da20/7478216/f426c9873160/joem-62-0746-g001.jpg

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