TY - JOUR
T1 - The direct and indirect costs of employee depression, anxiety, and emotional disorders - An employer case study
AU - Johnston, Kenton
AU - Westerfield, William
AU - Momin, Soyal
AU - Phillippi, Raymond
AU - Naidoo, Allen
N1 - Funding Information:
Supported by BlueCross BlueShield of Tennessee.
PY - 2009/5
Y1 - 2009/5
N2 - OBJECTIVE: To quantify the direct and indirect costs of employee depression, anxiety, and emotional disorders at one large employer in 2004 using administrative data sources. METHODS: Health care claims, personnel, disability, and productivity data were merged at the individual employee level. Direct medical costs were attributed to disease status using Episode Treatment Groups, and indirect costs were attributed using regression models and relative weights. RESULTS: Depression, anxiety, and emotional disorders were the fifth costliest of all disease categories. The average cost per case was $1646, with 53% coming from indirect costs and 47% from direct costs. CONCLUSIONS: The cost burden of depression, anxiety, and emotional disorders is among the greatest of any disease conditions in the workforce. It is worth considering methods for quantifying direct and indirect costs that use administrative data sources given their utility.
AB - OBJECTIVE: To quantify the direct and indirect costs of employee depression, anxiety, and emotional disorders at one large employer in 2004 using administrative data sources. METHODS: Health care claims, personnel, disability, and productivity data were merged at the individual employee level. Direct medical costs were attributed to disease status using Episode Treatment Groups, and indirect costs were attributed using regression models and relative weights. RESULTS: Depression, anxiety, and emotional disorders were the fifth costliest of all disease categories. The average cost per case was $1646, with 53% coming from indirect costs and 47% from direct costs. CONCLUSIONS: The cost burden of depression, anxiety, and emotional disorders is among the greatest of any disease conditions in the workforce. It is worth considering methods for quantifying direct and indirect costs that use administrative data sources given their utility.
UR - http://www.scopus.com/inward/record.url?scp=68049098190&partnerID=8YFLogxK
U2 - 10.1097/JOM.0b013e3181a1f5c8
DO - 10.1097/JOM.0b013e3181a1f5c8
M3 - Article
C2 - 19369892
AN - SCOPUS:68049098190
SN - 1076-2752
VL - 51
SP - 564
EP - 577
JO - Journal of occupational and environmental medicine
JF - Journal of occupational and environmental medicine
IS - 5
ER -