ArticleBMC public health2019
Economic consequences of Japanese schools' recovery certificate policy for seasonal influenza.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Economic impact of acute respiratory disease pandemics: A scoping review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022Article
- The characteristics of influenza-like illness management in Japan.BMC public health · 2020Article
- Cost of inappropriate antimicrobial use for upper respiratory infection in Japan.BMC health services research · 2020Observational
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
backgroundLike other countries, Japan experiences a seasonal influenza epidemic every year. In order to return to school after a influenza-related absence, most Japanese students are required to submit a recovery certificate (chiyu-shoumeisyo in Japanese). The objective of this study was to estimate the economic consequences of this practice.
methodsA cost analysis was conducted to estimate the additional costs incurred by the issuance of recovery certificates from a restricted societal perspective. The estimated number of influenza patients under 15 years old from the 2013/14 season to the 2017/18 season, the proportion of working mothers were used to calculate the estimated total number of recovery certificates issued per year. The cost of return visits to physicians and the cost for issuing certificates were included in the direct costs. Productivity loss was estimated using the mean monthly salary of women and was included in indirect costs.
resultsThe recovery certificate policy imposed an additional cost of 0.94 million USD per one million population. One-way deterministic sensitivity analysis demonstrated that the additional cost of the recovery certificate policy amounted to between 0.55 and 2.27 million USD per one million population. Probabilistic sensitivity analysis showed similar results.
conclusionsThe recovery certificate policy has a substantial negative economic impact on the Japanese healthcare system and society from a restricted societal perspective.
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Registered trials
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