Cost-effectiveness of Sick Leave Policies for Health Care Workers with Influenza-like Illness, Brazil, 2009

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Mota, Nancy Val y Val P. ; Lobo, Renata D. ; Toscano, Cristiana M. ; Pedroso de Lima, Antonio C. ; Dias, M. Beatriz Souza ; Komagata, Helio ; Levin, Anna S.
• Description:
  We describe the effect of influenza-like illness (ILI) during the outbreak of pandemic (H1N1) 2009 on health care worker (HCW) absenteeism and compare the effectiveness and cost of 2 sick leave policies for HCWs with suspected influenza. We assessed initial 2-day sick leaves plus reassessment until the HCW was asymptomatic (2-day + reassessment policy), and initial 7-day sick leaves (7-day policy). Sick leaves peaked in August 2009: 3% of the workforce received leave for ILI. Costs during May-October reached R$798,051.87 (≈US $443,362). The 7-day policy led to a higher monthly rate of sick leave days per 100 HCWs than did the 2-day + reassessment policy (8.72 vs. 3.47 days/100 HCWs; p<0.0001) and resulted in higher costs (US $609 vs. US $1,128 per HCW on leave). ILI affected HCW absenteeism. The 7-day policy was more costly and not more effective in preventing transmission to patients than the 2-day + reassessment policy.
• Subjects:
  Absenteeism Cost-Benefit Analysis Disease Outbreaks Health Personnel Health Policy Hospitals, Teaching Humans Influenza, Human Influenza A Virus, H1N1 Subtype Sick Leave
• Source:
  Emerg Infect Dis. 17(8):1421-1429.
• Document Type:
  Journal Article
• Genre:
  Policy Review
• Place as Subject:
  Brazil
• Volume:
  17
• Issue:
  8
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:d52a24742317fbb532c76fea3f33f70df2365de02570296eb13635fe1e1f1788
• Download URL:
  https://stacks.cdc.gov/view/cdc/24193/cdc_24193_DS1.pdf
• File Type:
  [PDF - 369.51 KB ]