Difficulties in calculating productivity costs: work disability associated with borderline personality disorder

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Antoinette D I van AsseltJohan Severens

Abstract

In trial-based analyses, the Human Capital (HC) approach is currently applied alternately with and without the incorporation of productivity costs for persons who are work disabled at baseline of the trial. We call these methods HC-extended (HC(EXT)) and HC-limited (HC(LIM)), respectively. Aim of the paper is to compare productivity costs according to HC(EXT) with HC(LIM) and the Friction Cost (FC) method, in patients with Borderline Personality Disorder (BPD). Data were obtained from a multicenter randomized trial in The Netherlands, comparing two types of outpatient psychotherapy, Schema Focused Therapy (SFT, n = 44) versus Transference Focused Psychotherapy (TFP, n = 42) for BPD. Mean age was 31.7 for SFT and 29.5 for TFP. A cost-interview was administered every three months for three years, and once again after the fourth year. Productivity costs were calculated according to HC(LIM), HC(EXT) and FC. A nonparametric bootstrap resampling method was performed. During the trial, the number of work-disabled patients increased for both treatments. Total productivity costs for HC(EXT) were higher than for HC(LIM) and FC. In addition, the incremental bootstrapped costs (TFP - SFT) pointed in the same direction for HC(LIM) (1168 Eur...Continue Reading

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Citations

Jan 15, 2013·Rheumatology International·Alena PetříkováJozef Kolář
Jun 15, 2011·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jong-Min WooYu Lee Park
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Aug 18, 2010·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Saskia KniesSilvia M A A Evers
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