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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ftpubmed:oai:pubmedcentral.nih.gov:8166714 2023-05-15T17:42:20+02:00 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 2021-02-24 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/ http://www.ncbi.nlm.nih.gov/pubmed/33625624 https://doi.org/10.1007/s10198-021-01271-7 en eng Springer Berlin Heidelberg http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/ http://www.ncbi.nlm.nih.gov/pubmed/33625624 http://dx.doi.org/10.1007/s10198-021-01271-7 © 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/) . CC-BY Eur J Health Econ Original Paper Text 2021 ftpubmed https://doi.org/10.1007/s10198-021-01271-7 2021-06-06T00:48:07Z 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. Text Northern Finland PubMed Central (PMC) The European Journal of Health Economics 22 4 531 545 |
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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 |
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Original Paper |
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. |
format |
Text |
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 |
title |
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_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_sort |
adjusted productivity costs of stroke by human capital and friction cost methods: a northern finland birth cohort 1966 study |
publisher |
Springer Berlin Heidelberg |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/ http://www.ncbi.nlm.nih.gov/pubmed/33625624 https://doi.org/10.1007/s10198-021-01271-7 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Eur J Health Econ |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166714/ http://www.ncbi.nlm.nih.gov/pubmed/33625624 http://dx.doi.org/10.1007/s10198-021-01271-7 |
op_rights |
© 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/) . |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1007/s10198-021-01271-7 |
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The European Journal of Health Economics |
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22 |
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4 |
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531 |
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545 |
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