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J Occup Environ Med. 2009 Mar;51(3):313-22. doi: 10.1097/JOM.0b013e3181990d8e.

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

Author information

1
Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.

Abstract

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.

PMID:
19225416
DOI:
10.1097/JOM.0b013e3181990d8e
[Indexed for MEDLINE]

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