Functional Dyspepsia Impacts Absenteeism and Direct and Indirect Costs
Functional Dyspepsia Impacts Absenteeism and Direct and Indirect Costs
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DOI：
10.1016/j.cgh.2010.03.003
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发表时间：
2010-06-01
影响因子：
12.6
通讯作者：
Talley, Nicholas J.
中科院分区：
文献类型：
--
作者：
Brook, Richard A.;Kleinman, Nathan L.;Talley, Nicholas J.
背景和目的：功能性消化不良 (FD) 是一种常见的疾病，但有关 FD 员工的直接和间接成本或其对生产力影响的数据有限。关于缺勤的数据很少，也没有客观的信息 本研究旨在评估 FD 对成本的影响以及对缺勤和工作产出（生产率）的影响 方法：我们对在 4 年研究期间（2001 年 1 月 1 日至 2004 年 12 月 31 日）从超过 300,000 名员工收集的工资数据和裁定的健康保险医疗和处方索赔进行了回顾性分析。 （对照）FD 使用两部分回归进行比较 结果指标包括医疗（总计和按服务地点划分）和处方费用、缺勤率以及客观测量的生产力产出 结果：与对照员工 (N = 274,206) 相比，FD 员工 (N = 1669) 的平均每年医疗和处方药费用以及间接成本（由于病假和短期和长期伤残缺勤）更高 每个服务地点（所有 P < 0001） 与对照组相比，有 FD 的员工每年额外缺勤 083 天，每小时产量减少 12%（均 P < 05） 结论：与没有 FD 的员工相比，有 FD 的员工在所有服务地点的成本更高，生产率更低。
BACKGROUND & AIMS: Functional dyspepsia (FD) is a common morbid condition but data are limited on the direct and indirect costs for employees with FD or on its impact on productivity. Few data on absenteeism and no objective information are available This study aimed to assess the impact of FD on costs and effects on absenteeism and work output (productivity) METHODS: We performed a retrospective analysis of payroll data and adjudicated health Insurance medical and prescription claims collected over a 4-year study period (January 1, 2001 to December 31, 2004) from more than 300,000 employees Data from employees with and without (controls) FD were compared using 2-part regression techniques Outcome measures included medical (total and by place of service) and prescription costs, absenteeism, and objectively measured productivity output RESULTS: Employees with FD (N = 1669) had greater average annual medical and prescription drug costs and indirect costs (owing to sick leave and short- and long-term disability absences) than controls (N = 274,206) Compared with controls, the FD employees incurred costs that were $5138 greater and had greater costs for each place of service (all P < 0001) The employees with FD had an additional 083 absence days per year and produced 12% fewer units per hour than controls (both P < 05) CONCLUSIONS: Employees with FD have greater costs at all places of service and lower productivity than employees without FD.