The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
September 1988 (Volume 66)
Quarterly Article
Deborah P. Lubeck
Edward H. Yelin
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
The indirect costs of illness-those resulting from lost functional capacity rather than from medical expenditures-have long been measured in quantitative economic terms. A recent survey of rheumatoid arthritics and osteoarthritics employs, however, an alternative method of estimation based on qualitative values. Both the persons with arthritis and the health controls indicated that maintaining social contacts and personal relationships, shopping, running errands, and doing chores for their family and themselves were much more important than work-related activities. Policy efforts should thus target disease interventions toward activity losses assigned the highest personal value rather than attempt to define the dollar value of these losses.
Author(s): Deborah P. Lubeck; Edward H. Yelin
Download the Article
Read on JSTOR
Volume 66, Issue 3 (pages 444–464) Published in 1988