Cardiovascular and cerebrovascular diseases risk associated with the incidence of presenteeism and the costs of presenteeism.
Cardiovascular and cerebrovascular diseases risk associated with the incidence of presenteeism and the costs of presenteeism.
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DOI：
10.1002/1348-9585.12167
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发表时间：
2020-01
影响因子：
3
通讯作者：
Mori K
中科院分区：
文献类型：
--
作者：
Kimura K;Nagata T;Ohtani M;Nagata M;Kajiki S;Fujino Y;Mori K
这项研究的目的是评估每个工人患心脑血管疾病的风险，并确定这种风险是否与出勤、旷工和医疗/药物治疗的发生率和成本有关。建立的风险方程被用来估计从日本四家制药公司招募的40-65岁男性员工10年内患冠状动脉疾病和缺血性中风的可能性。自填问卷将旷工发生率定义为过去1个月内存在病假，将旷工发生率定义为过去3个月内存在病假。每一项成本都是根据人力资本法计算的。关于医疗/药物治疗的数据从健康保险索赔中收集。对6047名工人的风险进行了计算。与低风险人群相比，中、高风险人群的出勤率和缺勤率明显更高。与低风险人群相比，中风险和高风险人群的缺勤率和出勤率也要高得多。缺勤和医疗/药物治疗的平均成本随着发生冠状动脉疾病或缺血性中风的风险而增加，而出勤成本没有增加。为了防止出勤带来的成本，不仅高危和中低危患心脑血管疾病的工人都应该得到医疗保健服务。
The objective of this study was to estimate a risk of cardiovascular and cerebrovascular diseases for each worker and to determine whether this risk is associated with the incidence and costs of presenteeism, absenteeism, and medical/drug treatments. Established risk equations were used to estimate the 10‐year probability of developing coronary artery disease and ischemic stroke in male workers aged 40‐65 years who were recruited from four pharmaceutical companies in Japan. The incidence of presenteeism was defined as existence of presenteeism for the past a month, and the incidence of absenteeism was defined as existence of sick‐leave for the past three months by a self‐administered questionnaire. Each cost was calculated based on the human capital method. Data on medical/drug treatments were collected from health insurance claims. The risks were calculated for 6047 workers. Individuals at moderate and high risk of coronary artery disease had a significantly higher rate of presenteeism and absenteeism than workers at low risk. Workers at moderate and high risk of ischemic stroke also had a significantly higher rate of presenteeism and absenteeism than workers at low risk. Mean costs for absenteeism and medical/drug treatments increased with the risk of developing coronary artery disease or ischemic stroke, while costs for presenteeism did not. To prevent the costs of presenteeism, workers not only at high risk but also at low and moderate risk of developing cardiovascular and cerebrovascular diseases should receive health care services.
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影响因子：
4.4
作者：
Brunner, Beatrice;Igic, Ivana;Wieser, Simon
通讯作者：
Wieser, Simon
影响因子：
3.3
作者：
Brouwer, WBF;Koopmanschap, MA;Rutten, FFH
通讯作者：
Rutten, FFH
影响因子：
12.7
作者：
Kivimäki, M;Head, J;Marmot, MG
通讯作者：
Marmot, MG
DOI：
10.1097/jom.0000000000001291
发表时间：
2018-05-01
影响因子：
3.2
作者：
Nagata, Tomohisa;Mori, Koji;Loeppke, Ronald
通讯作者：
Loeppke, Ronald
影响因子：
4.7
作者：
Nakamura K
通讯作者：
Nakamura K