Evidence map›Paper›PMID 33625624›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2021

Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study.

Ina Rissanen, Leena Ala-Mursula, Iiro Nerg, Marko Korhonen

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

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12citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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  4. Assessing a decade of leukaemia-related premature mortality costs: impact on productivity loss in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ina RissanenCenter for Life Course Health Research, University of Oulu, Oulu, Finland. i.l.rissanen@umcutrecht.nl.ORCID http://orcid.org/0000-0002-6869-0437
Leena Ala-MursulaCenter for Life Course Health Research, University of Oulu, Oulu, Finland.
Iiro NergOulu Business School, Department of Economics, University of Oulu, Oulu, Finland.
Marko KorhonenOulu Business School, Department of Economics, University of Oulu, Oulu, Finland.

Funding

ERDF European Regional Development Fund 539/2010 A31592Ministry of Health and Social Affairs 160/97Ministry of Health and Social Affairs 190/97Ministry of Health and Social Affairs 23/251/97National Institute for Health and Welfare 4121Oulu University Hospital 24301140Oulu University Hospital 2/97Oulu University Hospital 8/97Regional Institute of Occupational Health 50621Regional Institute of Occupational Health 54231University of Oulu 24000692University of Oulu 65354
6 · The paper itself

Abstract

backgroundProductivity costs result from loss of paid and unpaid work and replacements due to morbidity and mortality. They are usually assessed in health economic evaluations with human capital method (HCM) or friction cost method (FCM). The methodology for estimating lost productivity is an area of considerable debate.

objectiveTo compare traditional and adjusted HCM and FCM productivity cost estimates among young stroke patients.

methodsThe Northern Finland Birth Cohort 1966 was followed until the age of 50 to identify all 339 stroke patients whose productivity costs were estimated with traditional, occupation-specific and adjusted HCM and FCM models by using detailed, national register-based data on care, disability, mortality, education, taxation and labour market.

resultsCompared to traditional HCM, taking into account occupational class, national unemployment rate, disability-free life expectancy and decline in work ability, the productivity cost estimate decreased by a third, from €255,960 to €166,050. When traditional FCM was adjusted for occupational class and national unemployment rate, the estimate more than doubled from €3,040 to €7,020. HCM was more sensitive to adjustments for discount rate and wage growth rate than FCM.

conclusionsThis study highlights the importance of adjustments of HCM and FCM. Routine register-based data can be used for accurate productivity cost estimates of health shocks.

Indexed as

EfficiencyStrokeCost of IllnessFinlandFrictionHumansCohort studyFriction cost methodHuman capital methodProductivity costsStroke

Identifiers

PMID33625624
PMCPMC8166714

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.