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The costs of repatriating an ill seafarer: a micro-costing approach

Author

Listed:
  • Mads D. Faurby

    (University of Southern Denmark
    Faurby Consulting)

  • Olaf C. Jensen

    (University of Southern Denmark)

  • Lulu Hjarnoe

    (University of Southern Denmark)

  • Despena Andrioti

    (University of Southern Denmark)

Abstract

Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria. Direct cost data were derived from the Danish Maritime Authority while for indirect costs estimations were applied using the friction cost approach. The average total costs of repatriation varied for the four case vignettes; AMI (98,823 EUR), Malignant hypertension (47,597 EUR), Appendicitis (58,639 EUR) and Malaria (23,792 EUR) mainly due to large variations in the average direct costs which ranged between 9560 euro in the malaria case and 77,255 in the AMI case. Repatriating an ill seafarer is a costly operation and employers have a financial interest in promoting the health of seafarers by introducing or further strengthen cost-effective prevention programs and hereby reducing the number of repatriations.

Suggested Citation

  • Mads D. Faurby & Olaf C. Jensen & Lulu Hjarnoe & Despena Andrioti, 2017. "The costs of repatriating an ill seafarer: a micro-costing approach," Health Economics Review, Springer, vol. 7(1), pages 1-8, December.
    • Handle: RePEc:spr:hecrev:v:7:y:2017:i:1:d:10.1186_s13561-017-0184-0
    DOI: 10.1186/s13561-017-0184-0
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    References listed on IDEAS

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    1. Unto Häkkinen & Gunnar Rosenqvist & Tor Iversen & Clas Rehnberg & Timo T. Seppälä & on behalf of the EuroHOPE study group, 2015. "Outcome, Use of Resources and Their Relationship in the Treatment of AMI, Stroke and Hip Fracture at European Hospitals," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 116-139, December.
    2. Zsolt Mogyorosy & Peter Smith, 2005. "The main methodological issues in costing health care services: A literature review," Working Papers 007cherp, Centre for Health Economics, University of York.
    3. Jonas Schreyögg & Oliver Tiemann & Tom Stargardt & Reinhard Busse, 2008. "Cross‐country comparisons of costs: the use of episode‐specific transitive purchasing power parities with standardised cost categories," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 95-103, January.
    4. Oliver Tiemann, 2008. "Variations in hospitalisation costs for acute myocardial infarction – a comparison across Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 33-45, January.
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    Cited by:

    1. Li, Xue & Zhou, Yusheng & Yuen, Kum Fai, 2022. "A systematic review on seafarer health: Conditions, antecedents and interventions," Transport Policy, Elsevier, vol. 122(C), pages 11-25.

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