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

D.S. Rebergen; D.J. Bruinvels; M.W. van Tulder; A.J. van der Beek; W. van Mechelen

doi:https://doi.org/10.1097/JOM.0b013e3181990d8e

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

D.S. Rebergen, D.J. Bruinvels, M.W. van Tulder, A.J. van der Beek, W. van Mechelen

Public and occupational health (VUmc)

Research output: Contribution to journal › Article › Academic › peer-review

33 Citations (Scopus)

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 (€574.532 in total) were significantly lower in the intervention group (mean difference -€520; 95% CI -€980 to €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. ©2009 by American College of Occupational and Environmental Medicine.

Original language	English
Pages (from-to)	313-322
Journal	Journal of occupational and environmental medicine
Volume	51
Issue number	3
DOIs	https://doi.org/10.1097/JOM.0b013e3181990d8e
Publication status	Published - 2009

Access to Document

https://doi.org/10.1097/JOM.0b013e3181990d8e

Cite this

@article{3aa53ca4ab5a4a18b42b579dd94cb086,

title = "Cost-effectiveness of guideline-based care for workers with mental health problems",

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 (€574.532 in total) were significantly lower in the intervention group (mean difference -€520; 95% CI -€980 to €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. {\textcopyright}2009 by American College of Occupational and Environmental Medicine.",

author = "D.S. Rebergen and D.J. Bruinvels and {van Tulder}, M.W. and {van der Beek}, A.J. and {van Mechelen}, W.",

year = "2009",

doi = "https://doi.org/10.1097/JOM.0b013e3181990d8e",

language = "English",

volume = "51",

pages = "313--322",

journal = "Journal of occupational and environmental medicine",

issn = "1076-2752",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

TY - JOUR

T1 - Cost-effectiveness of guideline-based care for workers with mental health problems

AU - Rebergen, D.S.

AU - Bruinvels, D.J.

AU - van Tulder, M.W.

AU - van der Beek, A.J.

AU - van Mechelen, W.

PY - 2009

Y1 - 2009

N2 - 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 (€574.532 in total) were significantly lower in the intervention group (mean difference -€520; 95% CI -€980 to €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. ©2009 by American College of Occupational and Environmental Medicine.

AB - 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 (€574.532 in total) were significantly lower in the intervention group (mean difference -€520; 95% CI -€980 to €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. ©2009 by American College of Occupational and Environmental Medicine.

U2 - https://doi.org/10.1097/JOM.0b013e3181990d8e

DO - https://doi.org/10.1097/JOM.0b013e3181990d8e

M3 - Article

C2 - 19225416

SN - 1076-2752

VL - 51

SP - 313

EP - 322

JO - Journal of occupational and environmental medicine

JF - Journal of occupational and environmental medicine

IS - 3

ER -