Article

Cost-effectiveness of guideline-based care for workers with mental health problems.

Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine (impact factor: 1.88). 03/2009; 51(3):313-22. DOI:10.1097/JOM.0b013e3181990d8e pp.313-22
Source: PubMed

ABSTRACT To evaluate the cost-effectiveness of an activating guideline-based care (GBC) by occupational physicians (OPs).
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.
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.
GBC could be cost-effective, as lower direct costs lead to equal treatment outcomes of workers with common mental disorders.

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Keywords

1-year follow-up
 
acceptability curves
 
activating guideline-based care
 
bootstrap techniques
 
common mental disorders
 
easy access
 
economic evaluation
 
equal treatment outcomes
 
health care costs
 
Health care utilization costs
 
lower direct costs lead
 
mental health problems
 
occupational physicians
 
productivity loss costs
 
sick
 
usual care