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Volume 17, Number 8—August 2011

Research

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

Nancy Val y Val P. Mota, Renata D. Lobo, Cristiana M. Toscano, Antonio C. Pedroso de Lima, M. Beatriz Souza Dias, Helio Komagata, and Anna S. LevinComments to Author 
Author affiliations: Author affiliations: Hospital das Clínicas, São Paulo, Brazil (N.V.V.P. Mota, R.D. Lobo, M.B. Souza Dias, H. Komagata, A.S. Levin); Federal University of Goiás, Goiânia, Brazil (C.M. Toscano); University of São Paulo, São Paulo (A.C. Pedroso de Lima, A.S. Levin)

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Table 5

Costs associated with HCW absenteeism during the pandemic (H1N1) 2009 outbreak, by type of sick leave policy, Hospital das Clínicas, São Paulo, Brazil, May–October, 2009*

Cost category
2-d + reassessment, n = 415 HCWs

7-d, n = 169 HCWs
Unit cost, R$
No. units
Cost, R$
Unit cost, R$
No. units
Cost, R$
Direct costs
Diagnosis
Medical consultation 7.90 1,037.50 8,196.25 7.90 185.90 1,468.61
Real-time PCR 100.00 184.00 18,400.00 100.00 60.00 6,000.00
Respiratory swab 0.46 184.00 84.64 0.46 60.00 27.60
Outpatient care
Oseltamivir 112.40 415 46,646.00 112.40 169 18,995.60
Antimicrobial drugs 2.40 83 199.20 2.40 34 81.60
Medication for symptoms 2.95 291 858.45 2.95 118 348.10
Hospitalization, d 1,196.39 30.00 35,891.70 1,871.06 4.00 7,484.24
Staff replacement, d
Physician 858.51 50.50 43,354.76 858.51 17.50 15,023.93
Nurse 257.07 131.60 33,830.41 257.07 166.60 42,827.86
Nurse assistant 167.09 421.40 70,411.73 167.09 419.30 70,060.84
Nonmedical
10.00
1.50
6,225.00

10.00
0.10
169.00
Indirect costs
Productivity losses, d
Physician 381.23 101.00 38,504.23 381.23 35.00 13,343.05
Nurse 307.15 188.00 57,744.20 307.15 238.00 73,101.70
Nurse assistant
157.18
602.00
94,622.36

157.18
599.00
94,150.82
Total 454,968.92 343,082.94

*HCW, health care worker; 2-d + reassessment, 2-day sick leave plus reassessment every 2 days until asymptomatic policy; 7-d, 7-day sick leave policy; R$, Brazilian reals (R$1.80 = US $1.00).
†Round-trip bus fare for reassessment.

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