Cost-Effectiveness of Guideline-Based Care for Workers with Mental Health Problems

被引：33
|
作者：
Rebergen, D. S. [1 ]
Bruinvels, D. J. [1 ]
van Tulder, M. W. [2 ]
van der Beek, A. J. [1 ]
van Meehelen, W. [1 ]
机构：
[1] Vrije Univ Amsterdam, Med Ctr, Dept Publ & Occupat Hlth, EMGO Inst, NL-1007 MB Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Fac Earth & Life Sci, Inst Hlth Sci, NL-1007 MB Amsterdam, Netherlands
来源：
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2009年 / 51卷 / 03期
关键词：
RANDOMIZED CONTROLLED-TRIAL; LOW-BACK-PAIN; PROBLEM-SOLVING TREATMENT; SICK-LEAVE; ACTIVATING INTERVENTION; ADJUSTMENT DISORDERS; DEPRESSION; ALONGSIDE; ABSENCE; RETURN;
D O I：
10.1097/JOM.0b013e3181990d8e
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective: To evaluate the cost-effectiveness of an activating guideline-based care (GBC) by occupational physicians (OPs). Methods: An economic evaluation was conducted in a randomized controlled trial with police workers on sick; leave due to mental, health problems (n = 240). In the intervention group trained OPs provided GBC, compared with usual care with easy access to a psychologist. Sick leave data and health care costs were gathered after 1-year follow-up. Analyses comprised bootstrap techniques, cost-effectiveness planes, and acceptability curves. Results: Health care utilization costs ((sic)574.532 in total) were lower in the intervention group (mean difference -(sic)520; 95% CI-(sic)980 to (sic)59), whereas there were no significant differences in days of sick leave and productivity loss costs. Conclusions: GBC could be cost-effective, as lower direct costs lead to equal treatment, outcomes of workers with common mental disorders. (J Occup Environ Med. 2009;51:313-322)
引用
收藏
页码：313 / 322
页数：10
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