The Effects of Rheumatoid Arthritis on Labor Force Participation, Work Performance, and Healthcare Costs in Two Workplace Samples
Objective: To assess the workplace costs of rheumatoid arthritis (RA) from the employer perspective. Method: Samples included 4485 manufacturing firm (MF) employees (109 with RA) and 915 commercially insured (CO) subscribers (333 with RA). Respondents completed the Health and Work Performance (Quest...
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Veröffentlicht in: | Journal of occupational and environmental medicine 2008-01, Vol.50 (1), p.88-98 |
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creator | Kessler, Ronald C. Maclean, J. Ross Petukhova, Maria Sarawate, Chaitanya A. Short, Louise Li, Tracy T. Stang, Paul E. |
description | Objective: To assess the workplace costs of rheumatoid arthritis (RA) from the employer perspective. Method: Samples included 4485 manufacturing firm (MF) employees (109 with RA) and 915 commercially insured (CO) subscribers (333 with RA). Respondents completed the Health and Work Performance (Questionnaire (HPQ) and the Health Assessment Questionnaire (HAQ). The effects of RA were estimated using regression analysis. Results: RA was associated with increased probability of no longer working (CO), increased effort to maintain work performance (CO), increased sickness absence (MF), and increased non-RA pharmacy costs (CO). RA was not associated with hours worked or hourly wage. Indirect costs of RA did not exceed direct medical costs. Conclusions: Indirect costs of RA to employers are significant and warrant further research to increase our understanding of the contribu tion of different RA treatment interventions to optimizing workforce productivity. |
doi_str_mv | 10.1097/JOM.0b013e31815bc1aa |
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Ross ; Petukhova, Maria ; Sarawate, Chaitanya A. ; Short, Louise ; Li, Tracy T. ; Stang, Paul E.</creator><creatorcontrib>Kessler, Ronald C. ; Maclean, J. Ross ; Petukhova, Maria ; Sarawate, Chaitanya A. ; Short, Louise ; Li, Tracy T. ; Stang, Paul E.</creatorcontrib><description>Objective: To assess the workplace costs of rheumatoid arthritis (RA) from the employer perspective. Method: Samples included 4485 manufacturing firm (MF) employees (109 with RA) and 915 commercially insured (CO) subscribers (333 with RA). Respondents completed the Health and Work Performance (Questionnaire (HPQ) and the Health Assessment Questionnaire (HAQ). The effects of RA were estimated using regression analysis. Results: RA was associated with increased probability of no longer working (CO), increased effort to maintain work performance (CO), increased sickness absence (MF), and increased non-RA pharmacy costs (CO). RA was not associated with hours worked or hourly wage. Indirect costs of RA did not exceed direct medical costs. Conclusions: Indirect costs of RA to employers are significant and warrant further research to increase our understanding of the contribu tion of different RA treatment interventions to optimizing workforce productivity.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/JOM.0b013e31815bc1aa</identifier><identifier>PMID: 18188086</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Absenteeism ; Activities of Daily Living ; Adult ; Arthritis, Rheumatoid - economics ; Biological and medical sciences ; Comorbidity ; Diseases of the osteoarticular system ; Effects ; Efficiency ; Employer Health Costs ; Employment ; Female ; Health Care Costs ; Health care expenditures ; Humans ; Inflammatory joint diseases ; Labor force ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; ORIGINAL ARTICLES ; Performance appraisal ; Regression analysis ; Rheumatoid arthritis</subject><ispartof>Journal of occupational and environmental medicine, 2008-01, Vol.50 (1), p.88-98</ispartof><rights>Copyright © 2008 American College of Occupational and Environmental Medicine</rights><rights>2008The American College of Occupational and Environmental Medicine</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4298-8d9e4b0c2ce108a6ccedac724b542dc7fe6e79c0045d3cb8b25b1ab775fc42a23</citedby><cites>FETCH-LOGICAL-c4298-8d9e4b0c2ce108a6ccedac724b542dc7fe6e79c0045d3cb8b25b1ab775fc42a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44997620$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44997620$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,4024,27923,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20009927$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18188086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>Maclean, J. Ross</creatorcontrib><creatorcontrib>Petukhova, Maria</creatorcontrib><creatorcontrib>Sarawate, Chaitanya A.</creatorcontrib><creatorcontrib>Short, Louise</creatorcontrib><creatorcontrib>Li, Tracy T.</creatorcontrib><creatorcontrib>Stang, Paul E.</creatorcontrib><title>The Effects of Rheumatoid Arthritis on Labor Force Participation, Work Performance, and Healthcare Costs in Two Workplace Samples</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>Objective: To assess the workplace costs of rheumatoid arthritis (RA) from the employer perspective. Method: Samples included 4485 manufacturing firm (MF) employees (109 with RA) and 915 commercially insured (CO) subscribers (333 with RA). Respondents completed the Health and Work Performance (Questionnaire (HPQ) and the Health Assessment Questionnaire (HAQ). The effects of RA were estimated using regression analysis. Results: RA was associated with increased probability of no longer working (CO), increased effort to maintain work performance (CO), increased sickness absence (MF), and increased non-RA pharmacy costs (CO). RA was not associated with hours worked or hourly wage. Indirect costs of RA did not exceed direct medical costs. Conclusions: Indirect costs of RA to employers are significant and warrant further research to increase our understanding of the contribu tion of different RA treatment interventions to optimizing workforce productivity.</description><subject>Absenteeism</subject><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Arthritis, Rheumatoid - economics</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Diseases of the osteoarticular system</subject><subject>Effects</subject><subject>Efficiency</subject><subject>Employer Health Costs</subject><subject>Employment</subject><subject>Female</subject><subject>Health Care Costs</subject><subject>Health care expenditures</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Labor force</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>ORIGINAL ARTICLES</subject><subject>Performance appraisal</subject><subject>Regression analysis</subject><subject>Rheumatoid arthritis</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1u1DAURiMEoqXwBoAsJFg15dqxY3tZjVoKGtQKBrGMbpwbTaZJPLUTjVjy5pjOqJW6sPyj8x1b_rLsLYczDlZ__nb9_Qxq4AUV3HBVO474LDvmqihzZaV5ntagy1xoJY6yVzFuALjioF5mRylgDJjyOPu7WhO7aFtyU2S-ZT_WNA84-a5h52Fah27q0vnIllj7wC59cMRuMEyd67Y4dX48Zb99uGU3FFofBhwdnTIcG3ZF2E9rh4HYwsck70a22vl7ettj0vzEYdtTfJ29aLGP9OYwn2S_Li9Wi6t8ef3l6-J8mTsprMlNY0nW4IQjDgZL56hBp4WslRSN0y2VpK0DkKopXG1qoWqOtdaqTQIUxUn2ae_dBn83U5yqoYuO-h5H8nOsNHCrC6ES-OEJuPFzGNPbKsGFBqUsT5DcQy74GAO11TZ0A4Y_FYfqfz9V6qd62k-KvT-453qg5jF0KCQBHw8ARod9G9KPdvGBEwBgrdCP9-98P1GIt_28o1Ct73-9SpQsdCnzxBvgaZunwU2KvdvHNnHy4UErpbW6FFD8AxLctD4</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Kessler, Ronald C.</creator><creator>Maclean, J. Ross</creator><creator>Petukhova, Maria</creator><creator>Sarawate, Chaitanya A.</creator><creator>Short, Louise</creator><creator>Li, Tracy T.</creator><creator>Stang, Paul E.</creator><general>Lippincott Williams & Wilkins</general><general>The American College of Occupational and Environmental Medicine</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20080101</creationdate><title>The Effects of Rheumatoid Arthritis on Labor Force Participation, Work Performance, and Healthcare Costs in Two Workplace Samples</title><author>Kessler, Ronald C. ; Maclean, J. Ross ; Petukhova, Maria ; Sarawate, Chaitanya A. ; Short, Louise ; Li, Tracy T. ; Stang, Paul E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4298-8d9e4b0c2ce108a6ccedac724b542dc7fe6e79c0045d3cb8b25b1ab775fc42a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Absenteeism</topic><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Arthritis, Rheumatoid - economics</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Diseases of the osteoarticular system</topic><topic>Effects</topic><topic>Efficiency</topic><topic>Employer Health Costs</topic><topic>Employment</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Health care expenditures</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Labor force</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>ORIGINAL ARTICLES</topic><topic>Performance appraisal</topic><topic>Regression analysis</topic><topic>Rheumatoid arthritis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>Maclean, J. Ross</creatorcontrib><creatorcontrib>Petukhova, Maria</creatorcontrib><creatorcontrib>Sarawate, Chaitanya A.</creatorcontrib><creatorcontrib>Short, Louise</creatorcontrib><creatorcontrib>Li, Tracy T.</creatorcontrib><creatorcontrib>Stang, Paul E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kessler, Ronald C.</au><au>Maclean, J. Ross</au><au>Petukhova, Maria</au><au>Sarawate, Chaitanya A.</au><au>Short, Louise</au><au>Li, Tracy T.</au><au>Stang, Paul E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Rheumatoid Arthritis on Labor Force Participation, Work Performance, and Healthcare Costs in Two Workplace Samples</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>50</volume><issue>1</issue><spage>88</spage><epage>98</epage><pages>88-98</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>Objective: To assess the workplace costs of rheumatoid arthritis (RA) from the employer perspective. Method: Samples included 4485 manufacturing firm (MF) employees (109 with RA) and 915 commercially insured (CO) subscribers (333 with RA). Respondents completed the Health and Work Performance (Questionnaire (HPQ) and the Health Assessment Questionnaire (HAQ). The effects of RA were estimated using regression analysis. Results: RA was associated with increased probability of no longer working (CO), increased effort to maintain work performance (CO), increased sickness absence (MF), and increased non-RA pharmacy costs (CO). RA was not associated with hours worked or hourly wage. Indirect costs of RA did not exceed direct medical costs. Conclusions: Indirect costs of RA to employers are significant and warrant further research to increase our understanding of the contribu tion of different RA treatment interventions to optimizing workforce productivity.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>18188086</pmid><doi>10.1097/JOM.0b013e31815bc1aa</doi><tpages>11</tpages></addata></record> |
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subjects | Absenteeism Activities of Daily Living Adult Arthritis, Rheumatoid - economics Biological and medical sciences Comorbidity Diseases of the osteoarticular system Effects Efficiency Employer Health Costs Employment Female Health Care Costs Health care expenditures Humans Inflammatory joint diseases Labor force Logistic Models Male Medical sciences Middle Aged ORIGINAL ARTICLES Performance appraisal Regression analysis Rheumatoid arthritis |
title | The Effects of Rheumatoid Arthritis on Labor Force Participation, Work Performance, and Healthcare Costs in Two Workplace Samples |
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