In this study we estimated the indirect costs of back pain in 1991 in the Netherlands on the basis of two approaches : the traditionally used human capital method and the more recently developed friction cost method.
The indirect costs of illness were defined as the value of production losses of paid labour and related costs to society due to back pain.
The results of this study in 1991 in the Netherlands show that the short-term indirect costs estimated by the human capital method were more than three times as high as the indirect costs estimated by the friction cost method (USS 4.6 billion VS.
US$ 1.5 billion, respectively).
The lower estimate of indirect costs when using the friction cost method is mainly due to the fact that in this method actual production losses are estimated during a relatively short friction period, which is defined as the period needed to restore the initial production level.
In contrast with the human capital method, long-term absenteeism and disability do not induce additional costs when applying the friction cost method.
Since the friction cost method takes into account that employees can be replaced, we believe that this method produces a more accurate estimate of indirect costs than the human capital method.
Notwithstanding the resulting decrease in indirect costs of back pain, these costs are still impressive, representing 0,28% of the GNP in the Netherlands in 1991. (...)
Mots-clés Pascal : Pays Bas, Europe, Douleur, Epidémiologie, Economie santé, Coût social, Lombalgie, Rachis lombaire, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Homme
Mots-clés Pascal anglais : Netherlands, Europe, Pain, Epidemiology, Health economy, Social cost, Low back pain, Lumbar spine, Diseases of the osteoarticular system, Spine disease, Rachialgia, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0278238
Code Inist : 002B30A01A1. Création : 16/11/1999.