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 (euro574.532 in total) were significantly lower in the intervention group (mean difference -euro520; 95% CI -euro980 to euro59), 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.
RCT Entities:
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 (euro574.532 in total) were significantly lower in the intervention group (mean difference -euro520; 95% CI -euro980 to euro59), 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.
Authors: Andrea D Furlan; William H Gnam; Nancy Carnide; Emma Irvin; Benjamin C Amick; Kelly DeRango; Robert McMaster; Kimberley Cullen; Tesha Slack; Sandra Brouwer; Ute Bültmann Journal: J Occup Rehabil Date: 2012-09
Authors: Nicole Vogel; Stefan Schandelmaier; Thomas Zumbrunn; Shanil Ebrahim; Wout El de Boer; Jason W Busse; Regina Kunz Journal: Cochrane Database Syst Rev Date: 2017-03-30
Authors: Karlijn M van Beurden; Evelien P M Brouwers; Margot C W Joosen; Berend Terluin; Jac J L van der Klink; Jaap van Weeghel Journal: BMC Public Health Date: 2013-03-06 Impact factor: 3.295
Authors: Karlijn M van Beurden; Jac J L van der Klink; Evelien P M Brouwers; Margot C W Joosen; Jolanda J P Mathijssen; Berend Terluin; Jaap van Weeghel Journal: BMC Public Health Date: 2015-08-19 Impact factor: 3.295