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Productivity Costs in Economic Evaluations: Past, Present, Future

PharmacoEconomics, 2013-07, Vol.31 (7), p.537-549 [Peer Reviewed Journal]

Springer International Publishing Switzerland 2013 ;2014 INIST-CNRS ;COPYRIGHT 2013 Springer ;Copyright Wolters Kluwer Health Adis International Jul 2013 ;ISSN: 1170-7690 ;EISSN: 1179-2027 ;DOI: 10.1007/s40273-013-0056-3 ;PMID: 23620213

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Title:
Productivity Costs in Economic Evaluations: Past, Present, Future
Author: Krol, Marieke ; Brouwer, Werner ; Rutten, Frans
Subjects: Absenteeism ; Biological and medical sciences ; Cost analysis ; Cost control ; Cost estimates ; Cost-Benefit Analysis - economics ; Cost-Benefit Analysis - standards ; Costs and Cost Analysis - economics ; Costs and Cost Analysis - ethics ; Costs and Cost Analysis - trends ; Debates ; Decision making ; Disabled Persons ; Economic theory ; Economy. Management ; Efficiency - ethics ; Equity ; Evaluation ; Health Administration ; Health and social institutions ; Health care industry ; Health Economics ; Health technology assessment ; Hospital costs ; Humans ; Intervention ; Labor productivity ; Medical economics ; Medical sciences ; Medicine ; Medicine & Public Health ; Methods ; Mortality, Premature ; Pharmacoeconomics and Health Outcomes ; Practical Application ; Productivity ; Productivity measurement ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality of Life Research ; Sick Leave - economics ; Studies ; Valuation ; Work - economics
Is Part Of: PharmacoEconomics, 2013-07, Vol.31 (7), p.537-549
Description: Productivity costs occur when the productivity of individuals is affected by illness, treatment, disability or premature death. The objective of this paper was to review past and current developments related to the inclusion, identification, measurement and valuation of productivity costs in economic evaluations. The main debates in the theory and practice of economic evaluations of health technologies described in this review have centred on the questions of whether and how to include productivity costs, especially productivity costs related to paid work. The past few decades have seen important progress in this area. There are important sources of productivity costs other than absenteeism (e.g. presenteeism and multiplier effects in co-workers), but their exact influence on costs remains unclear. Different measurement instruments have been developed over the years, but which instrument provides the most accurate estimates has not been established. Several valuation approaches have been proposed. While empirical research suggests that productivity costs are best included in the cost side of the cost-effectiveness ratio, the jury is still out regarding whether the human capital approach or the friction cost approach is the most appropriate valuation method to do so. Despite the progress and the substantial amount of scientific research, a consensus has not been reached on either the inclusion of productivity costs in economic evaluations or the methods used to produce productivity cost estimates. Such a lack of consensus has likely contributed to ignoring productivity costs in actual economic evaluations and is reflected in variations in national health economic guidelines. Further research is needed to lessen the controversy regarding the estimation of health-related productivity costs. More standardization would increase the comparability and credibility of economic evaluations taking a societal perspective.
Publisher: Cham: Springer International Publishing AG
Language: English
Identifier: ISSN: 1170-7690
EISSN: 1179-2027
DOI: 10.1007/s40273-013-0056-3
PMID: 23620213
Source: ProQuest One Psychology
MEDLINE
ProQuest Central

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Productivity Costs in Economic Evaluations: Past, Present, Future

Springer International Publishing Switzerland 2013 ;2014 INIST-CNRS ;COPYRIGHT 2013 Springer ;Copyright Wolters Kluwer Health Adis International Jul 2013 ;ISSN: 1170-7690 ;EISSN: 1179-2027 ;DOI: 10.1007/s40273-013-0056-3 ;PMID: 23620213

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