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J Occup Environ Med. 2012 Sep;54(9):1064-77. doi: 10.1097/JOM.0b013e3182590317.

Managing the burden of chronic obstructive pulmonary disease on workforce health and productivity: upping a leading employer's game.

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1
Harris Allen Group, LLC, Brookline, MA 02445, USA. harris@harrisallengroup.com

Abstract

OBJECTIVE:

To develop new evidence for advancing a leading employer's capacity to manage the burden of chronic obstructive pulmonary disease (COPD).

METHODS:

Retrospective analyses of an integrated database tracking active employees (n = 19,989) from 2001-2009. Tests on 29 measures of direct/indirect costs and drivers examined unique disease burden and impact over time.

RESULTS:

The costs of COPD exceeded workforce-wide costs by wide margins in 2001-2002. Direct costs linked to the disease rose in 2008-2009; whereas, its indirect costs dropped sharply. Differences between yet-to-be-diagnosed versus diagnosed and newly diagnosed versus established diagnosed groups were directionally consistent on driver and cost measures in 2001-2002. In 2008-2009, these comparisons were similarly consistent on indirect measures but not direct measures. Medication use helped to explain the inconsistencies.

DISCUSSION:

New action on COPD-oriented unit price escalation, prevention, and medical management concerns raised by these results could strengthen an already exemplary health and productivity program.

PMID:
22929792
DOI:
10.1097/JOM.0b013e3182590317
[Indexed for MEDLINE]
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