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Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study

BACKGROUND: Productivity costs result from loss of paid and unpaid work and replacements due to morbidity and mortality. They are usually assessed in health economic evaluations with human capital method (HCM) or friction cost method (FCM). The methodology for estimating lost productivity is an area...

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Autores principales: Rissanen, Ina, Ala-Mursula, Leena, Nerg, Iiro, Korhonen, Marko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/
https://www.ncbi.nlm.nih.gov/pubmed/33625624
http://dx.doi.org/10.1007/s10198-021-01271-7
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author Rissanen, Ina
Ala-Mursula, Leena
Nerg, Iiro
Korhonen, Marko
author_facet Rissanen, Ina
Ala-Mursula, Leena
Nerg, Iiro
Korhonen, Marko
author_sort Rissanen, Ina
collection PubMed
description BACKGROUND: Productivity costs result from loss of paid and unpaid work and replacements due to morbidity and mortality. They are usually assessed in health economic evaluations with human capital method (HCM) or friction cost method (FCM). The methodology for estimating lost productivity is an area of considerable debate. OBJECTIVE: To compare traditional and adjusted HCM and FCM productivity cost estimates among young stroke patients. METHODS: The Northern Finland Birth Cohort 1966 was followed until the age of 50 to identify all 339 stroke patients whose productivity costs were estimated with traditional, occupation-specific and adjusted HCM and FCM models by using detailed, national register-based data on care, disability, mortality, education, taxation and labour market. RESULTS: Compared to traditional HCM, taking into account occupational class, national unemployment rate, disability-free life expectancy and decline in work ability, the productivity cost estimate decreased by a third, from €255,960 to €166,050. When traditional FCM was adjusted for occupational class and national unemployment rate, the estimate more than doubled from €3,040 to €7,020. HCM was more sensitive to adjustments for discount rate and wage growth rate than FCM. CONCLUSIONS: This study highlights the importance of adjustments of HCM and FCM. Routine register-based data can be used for accurate productivity cost estimates of health shocks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10198-021-01271-7.
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spelling pubmed-81667142021-06-03 Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study Rissanen, Ina Ala-Mursula, Leena Nerg, Iiro Korhonen, Marko Eur J Health Econ Original Paper BACKGROUND: Productivity costs result from loss of paid and unpaid work and replacements due to morbidity and mortality. They are usually assessed in health economic evaluations with human capital method (HCM) or friction cost method (FCM). The methodology for estimating lost productivity is an area of considerable debate. OBJECTIVE: To compare traditional and adjusted HCM and FCM productivity cost estimates among young stroke patients. METHODS: The Northern Finland Birth Cohort 1966 was followed until the age of 50 to identify all 339 stroke patients whose productivity costs were estimated with traditional, occupation-specific and adjusted HCM and FCM models by using detailed, national register-based data on care, disability, mortality, education, taxation and labour market. RESULTS: Compared to traditional HCM, taking into account occupational class, national unemployment rate, disability-free life expectancy and decline in work ability, the productivity cost estimate decreased by a third, from €255,960 to €166,050. When traditional FCM was adjusted for occupational class and national unemployment rate, the estimate more than doubled from €3,040 to €7,020. HCM was more sensitive to adjustments for discount rate and wage growth rate than FCM. CONCLUSIONS: This study highlights the importance of adjustments of HCM and FCM. Routine register-based data can be used for accurate productivity cost estimates of health shocks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10198-021-01271-7. Springer Berlin Heidelberg 2021-02-24 2021 /pmc/articles/PMC8166714/ /pubmed/33625624 http://dx.doi.org/10.1007/s10198-021-01271-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Rissanen, Ina
Ala-Mursula, Leena
Nerg, Iiro
Korhonen, Marko
Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title_full Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title_fullStr Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title_full_unstemmed Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title_short Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study
title_sort adjusted productivity costs of stroke by human capital and friction cost methods: a northern finland birth cohort 1966 study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/
https://www.ncbi.nlm.nih.gov/pubmed/33625624
http://dx.doi.org/10.1007/s10198-021-01271-7
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