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Lost productivity among military personnel with cardiovascular disease
  1. Mahdi Gharasi-Manshadi1,
  2. M Meskarpour-Amiri2 and
  3. P Mehdizadeh3
  1. 1 Departmentof Health Management and Economics, School of Public Health, Tehran Universityof Medical Sciences, Tehran, Iran
  2. 2 Health Economics Department, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  3. 3 Health Economics Department, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  1. Correspondence to Dr M Meskarpour-Amiri, Health Economics Department, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran; mailer.amiri{at}gmail.com

Abstract

Objective Cardiovascular disease (CVD) is associated with significant productivity loss among all occupational groups. However, the increased occupational requirements of military personnel pose physical and psychological demands that could lead to greater lost productivity of CVD. The aim of this study was to determine the economic cost of lost productivity of military patients with CVD.

Methods A prospective cross-sectional study was undertaken on all military patients attending a specialist CVD clinic in Tehran, Iran. All participants were interviewed using face-to-face questioning using a Valuation of Lost Productivity questionnaire. Data captured included paid and unpaid time lost due to CVD, military job characteristics and their work environment. Ordered logistic regression was used to examine the determinants of lost productivity.

Results The mean time of lost productivity was 118 hours over a 3-month period, of which 70 and 48 hours were paid and unpaid work, respectively. The average cost per patient of total lost productivity was estimated to be US$303 over a 3-month period.

Conclusions CVDs are associated with significant lost productivity among military personnel. There is a statistically significant relation between some military occupation characteristics and lost productivity from CVD. Level of income, teamwork and physical activity have the greatest effects on lost productivity. Military workers who were suffering from other chronic conditions (in addition to CVD) were four times more likely to lose productivity. A supportive work environment should be created for military personnel with emphasis on developing teamwork, improving worker’s attitudes towards disease and giving priority to workers with comorbidities.

  • lost productivity
  • chronic disease
  • cardiovascular diseases
  • workforce
  • military personnel
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Footnotes

  • Contributor The study designed and managed by Dr. M.Meskarpour and Mrs. P.Mehdizadeh. Mr. M.Gharasi got permission of using VOLP questionnaire also he performed data collection, data analysis and wrote the manuscript. Technical checks on data analysis and manuscript have done by Dr. M.Meskarpour and Mrs. P.Mehdizadeh.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval This study was approved by the Ethics Committee of Baqiyatallah University of Medical Sciences, Iran.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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