Economic burden of COVID-19 for employers and employees in the United States.

IF 2.9 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Medical Economics Pub Date : 2024-01-01 Epub Date: 2024-02-24 DOI:10.1080/13696998.2024.2309835
Heather Sell, Kassandra Schaible, Julie A Gouveia-Pisano, Alon Yehoshua, Deepa Malhotra, Manuela Di Fusco, Ashley S Cha-Silva, Kathleen M Andersen, Lance Nicholls, Suzanne N Landi, Catherine Rolland, Jennifer Judy
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引用次数: 0

Abstract

Objective: Describe the economic burden of COVID-19 on employers and employees in the United States (US).

Methods: A targeted literature review was conducted to evaluate the impact of COVID-19 on US-based employers and employees in terms of healthcare resource utilization (HCRU), medical costs, and costs associated with work-loss. Searches were conducted in MEDLINE, Embase, and EconLit using a combination of disease terms, populations, and outcomes to identify articles published from January 2021 to November 4, 2022. As data from the employer perspective were lacking, additional literature related to influenza were included to contextualize the impact of COVID-19, as it shifts into an endemic state, within the existing respiratory illness landscape.

Results: A total of 41 articles were included in the literature review. Employer and employee perspectives were not well represented in the literature, and very few articles overlapped on any given outcome. HCRU, costs, and work impairment vary by community transmission levels, industry type, population demographics, telework ability, mitigation implementation measures, and company policies. Work-loss among COVID-19 cases were higher among the unvaccinated and in the week following diagnosis and for some, these continued for 6 months. HCRU is increased in those with COVID-19 and COVID-19-related HCRU can also continue for 6 months.

Conclusions: COVID-19 continues to be a considerable burden to employers. The majority of COVID-19 cases impact working age adults. HCRU is mainly driven by outpatient visits, while direct costs are driven by hospitalization. Productivity loss is higher for unvaccinated individuals. An increased focus to support mitigation measures may minimize hospitalizations and work-loss. A data-driven approach to implementation of workplace policies, targeted communications, and access to timely and appropriate therapies for prevention and treatment may reduce health-related work-loss and associated cost burden.

COVID-19 对美国雇主和雇员造成的经济负担。
目的:描述 COVID-19 对美国雇主和雇员造成的经济负担:描述 COVID-19 对美国雇主和雇员造成的经济负担:我们进行了一项有针对性的文献综述,以评估 COVID-19 在医疗资源利用率 (HCRU)、医疗成本和与工作损失相关的成本方面对美国雇主和雇员的影响。在 MEDLINE、Embase 和 EconLit 中使用疾病术语、人群和结果组合进行检索,以确定 2021 年 1 月至 2022 年 11 月 4 日期间发表的文章。由于缺乏来自雇主角度的数据,因此纳入了更多与流感相关的文献,以便在现有呼吸道疾病的背景下了解 COVID-19 的影响,因为 COVID-19 已进入流行状态:结果:共有 41 篇文章被纳入文献综述。雇主和雇员的观点在文献中的代表性不强,很少有文章在任何特定结果上有重叠。HCRU、成本和工作损害因社区传播水平、行业类型、人口统计、远程工作能力、缓解措施的实施以及公司政策而异。在 COVID-19 病例中,未接种疫苗者和确诊后一周内的工作损失较高,有些人的工作损失甚至持续了 6 个月。COVID-19感染者的HCRU增加,与COVID-19相关的HCRU也会持续6个月:结论:COVID-19 仍是雇主的沉重负担。大多数 COVID-19 病例影响的是工作年龄段的成年人。HCRU主要由门诊就诊引起,而直接费用则由住院治疗引起。未接种疫苗者的生产力损失更高。加强对缓解措施的支持可能会最大限度地减少住院和工作损失。以数据为导向的工作场所政策实施方法、有针对性的沟通以及及时获得适当的预防和治疗方法,可以减少与健康相关的工作损失和相关的成本负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Economics
Journal of Medical Economics HEALTH CARE SCIENCES & SERVICES-MEDICINE, GENERAL & INTERNAL
CiteScore
4.50
自引率
4.20%
发文量
122
期刊介绍: Journal of Medical Economics'' mission is to provide ethical, unbiased and rapid publication of quality content that is validated by rigorous peer review. The aim of Journal of Medical Economics is to serve the information needs of the pharmacoeconomics and healthcare research community, to help translate research advances into patient care and be a leader in transparency/disclosure by facilitating a collaborative and honest approach to publication. Journal of Medical Economics publishes high-quality economic assessments of novel therapeutic and device interventions for an international audience
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