Please use this identifier to cite or link to this item: https://doi.org/10.1080/13696998.2021.1945242
Title: The impact of seven major noncommunicable diseases on direct medical costs, absenteeism, and presenteeism in Gulf Cooperation Council countries
Authors: Eric Finkelstein 
Jesse Malkin
Drishti Baid 
Ada Al-Qunaibet
Khaled Mahdi
Mohammed Hamad J. Al-Thani
Buthaina Abdulla Bin Belaila
Ebrahim Al Nawakhtha
Saleh Alqahtani
Sameh El-Saharty
Christopher Herbst
Keywords: absenteeism
direct medical costs
Gulf Cooperation Council
noncommunicable diseases
presenteeism
Issue Date: 6-Jul-2021
Publisher: Taylor & Francis
Citation: Eric Finkelstein, Jesse Malkin, Drishti Baid, Ada Al-Qunaibet, Khaled Mahdi, Mohammed Hamad J. Al-Thani, Buthaina Abdulla Bin Belaila, Ebrahim Al Nawakhtha, Saleh Alqahtani, Sameh El-Saharty, Christopher Herbst (2021-07-06). The impact of seven major noncommunicable diseases on direct medical costs, absenteeism, and presenteeism in Gulf Cooperation Council countries. Journal of Medical Economics 24 (1) : 828-834. ScholarBank@NUS Repository. https://doi.org/10.1080/13696998.2021.1945242
Abstract: Aims: To estimate the current burden of seven major noncommunicable diseases on direct medical costs, absenteeism, and presenteeism in the six countries in the Gulf Cooperation Council: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. Materials and methods: We used data from pre-existing datasets and the literature. We identified seven major noncommunicable diseases for which data were available: coronary heart disease, stroke, type-2 diabetes mellitus, breast cancer, colon cancer, chronic obstructive pulmonary disease, and asthma. We estimated the per unit cost (the annual cost of treating each illness for one person) of each disease, multiplied per unit cost by disease prevalence counts to generate disease-specific costs, and then summed across diseases. We calculated the cost of absenteeism and presenteeism by multiplying the gross domestic product per person in the labor force by the loss in productivity from each disease due to absenteeism and presenteeism, respectively, and the prevalence in the labor force of each disease. Results: We estimate that the direct medical costs of seven major noncommunicable diseases in Gulf Cooperation Council countries are $16.7 billion (2019 International $), equal to 0.6% of gross domestic product. We estimate that absenteeism and presenteeism due to these seven noncommunicable diseases cost 0.5 and 2.2% of gross domestic product, respectively. Limitations: Our study does not capture all noncommunicable diseases and does not capture all types of indirect costs. Our cost estimates are particularly sensitive to our assumptions regarding type-2 diabetes mellitus. Conclusion: The economic burden of noncommunicable diseases in Gulf Cooperation Council countries is substantial, suggesting that successful preventive interventions have the potential to improve both population health and reduce costs. Further research is needed to capture a broader array of noncommunicable diseases and to develop more precise estimates.
Source Title: Journal of Medical Economics
URI: https://scholarbank.nus.edu.sg/handle/10635/215756
ISSN: 1369-6998
DOI: 10.1080/13696998.2021.1945242
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