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Measuring Productivity Loss Due to Health: A Multi-Method Approach

Neftzger, Amy L. MA; Walker, Shannon MA

Journal of Occupational and Environmental Medicine: May 2010 - Volume 52 - Issue 5 - p 486-494
doi: 10.1097/JOM.0b013e3181db7d57
Original Articles

Objective: Although current assessments of health-related productivity loss (HRPL) are useful for some jobs, an alternate approach is suggested for certain types of jobs, such as managerial or knowledge workers. A decision approach is also needed to determine which methodology to use.

Method: The authors applied some established human performance theories to modify HRPL measurement methodology to improve the HRPL cost estimates.

Results: A model is proposed to aid decision-making on whether to use current HRPL measures or apply a multi-method approach that involves using a hybrid of current and new methodologies. A decision framework for determining which HRPL methods to use with different jobs is included.

Conclusions: HRPL measurement precision may be improved by incorporating additional approaches to obtain more accurate calculations of ROI.

From Middle Tennessee State University (Ms Neftzger, Ms Walker), Murfreesboro, Tenn.

CME Available for this Article at

Amy Neftzger and Shannon Walker have no financial interest in this research.

The JOEM Board and planners have no financial interest related to this research.

Address correspondence to: Amy L. Neftzger, P. O. Box 965, TN 37027; E-mail:

©2010The American College of Occupational and Environmental Medicine