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Journal of Occupational & Environmental Medicine:
April 2004 - Volume 46 - Issue 4 - pp 398-412
Original Articles

Health, Absence, Disability, and Presenteeism Cost Estimates of Certain Physical and Mental Health Conditions Affecting U.S. Employers

Goetzel, Ron Z. PhD; Long, Stacey R. MS; Ozminkowski, Ronald J. PhD; Hawkins, Kevin PhD; Wang, Shaohung PhD; Lynch, Wendy PhD

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Abstract

Evidence about the total cost of health, absence, short-term disability, and productivity losses was synthesized for 10 health conditions. Cost estimates from a large medical/absence database were combined with findings from several published productivity surveys. Ranges of condition prevalence and associated absenteeism and presenteeism (on-the-job-productivity) losses were used to estimate condition-related costs. Based on average impairment and prevalence estimates, the overall economic burden of illness was highest for hypertension ($392 per eligible employee per year), heart disease ($368), depression and other mental illnesses ($348), and arthritis ($327). Presenteeism costs were higher than medical costs in most cases, and represented 18% to 60% of all costs for the 10 conditions. Caution is advised when interpreting any particular source of data, and the need for standardization in future research is noted.

©2004The American College of Occupational and Environmental Medicine

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