Measurement Instruments of Productivity Loss of Paid and Unpaid Work: A Systematic Review and Assessment of Suitability for Health Economic Evaluations From a Societal Perspective

Kimberley Hubens*, Marieke Krol, Joanna Coast, Michael Drummond, Werner Brouwer, Carin Uyl-de Groot, Leona Haakkart-van Roijnen

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Abstract

Abstract Objectives: The aim of this study was (1) to perform a systematic literature review of instruments for measuring productivity loss of paid and unpaid work and (2) to assess the suitability (in terms of identification, measurement, and valuation) of these instruments for use in health economic evaluations from a societal perspective.
Methods: Papers published from 2018 were sourced from PubMed/Medline, PsycInfo, Embase, and Econlit. Using two separate search strategies, eligible economic evaluations and validation studies were selected and unique measurement instruments identified. A data-extraction form was developed by studying previous literature and consulting an international panel of experts in the field of productivity costs. This data-extraction form was applied to assess the suitability of instruments for use in economic evaluations.
Results: 5,982 articles were retrieved from the databases, of which 99 economic evaluations and nine validation studies were included in the review. Forty-two unique measurement instruments were identified. Nine instruments provided quantified measures of absenteeism, presenteeism, and unpaid work. Five instruments supplied the necessary information to enable the use of at least one common valuation method. The SF-HLQ, HLQ, and iPCQ met both criteria. However, the developers replaced the SF-HLQ and HLQ by the more recently developed iPCQ.
Conclusions: Although many instruments for measuring productivity loss were identified, most were not suitable for capturing productivity changes for economic evaluations from a societal perspective. Future research can benefit from this study by making an informed instrument choice for the measurement of productivity loss of paid and unpaid work
Original languageEnglish
Pages (from-to)1686-1699
Number of pages14
JournalValue in Health
Volume24
Issue number11
Early online date17 Sep 2021
DOIs
Publication statusPublished - 25 Oct 2021

Structured keywords

  • HEB

Keywords

  • productivity loss
  • productivity costs
  • measurement
  • systematic review
  • economic evaluation
  • measurement instruments
  • survey
  • questionnaire
  • indirect costs

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