Adjustment for planned versus actual retirement and work cutback adjustments were calculated for planned versus actual retirement and work cutback using the NPS 2007 and CMA Master File.
These self-reports were used to estimate the costs of each participant's health care consumption, work loss, and work cutback.
Indirect non-medical cost data related to production losses through work loss days and work cutback days will be sampled with the appropriate PRODISQ modules [ 38].
Indirect non-medical cost data related to production losses through work loss days and work cutback days will be sampled with specific modules of TIC-P [ 22].
Patients were absent from paid work due to sick leave (work loss days), or they were ill but continue to work with reduced efficiency (work cutback days), or caregivers were absent from paid work due to take care of patients.
We estimated the number of work cutback days as the number of days actually worked when ill, multiplied by a self-reported inefficiency score, which ranges between 0 and 1 (0 = as efficient as when in good health, 1 = totally inefficient).
The human capital approach was used for valuation of the productivity losses, which means that monetary losses associated with work loss and work cutback were based on the participants' gross earning for the full length of their sick leave [ 22].
One possible explanation for this difference could be that this study used a broader perspective including both work cutback as well as domestic loss in the cost-effectiveness analysis.
The following sections contain descriptions of how the estimates of the probability of burnout was calculated as well as the associated probabilities for professional dissatisfaction, retirement and work cutback outcomes.
