Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial

Lambeek, L.C.; Bosmans, Judith E.; Royen, Barend J. van; Tulder, Maurits W. van; Mechelen, Willem van; Anema, Johannes R.

doi:10.1136/bmj.c6414

Cited by 125 publications

(220 citation statements)

References 24 publications

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“…In addition, we assumed that in case of work resumption in regular work with ending of the sickness benefit, there was no net productivity gain from a societal perspective. This is comparable to other recent economic evaluations of participatory RTW interventions for regular employees (20,21), ie, in case of work resumption of regular employees (and subsequent ending of sick leave) production loss ends and no net productivity gain is assumed.…”

Section: Costs Resources and Valuationsupporting

confidence: 81%

“…Similarly, an employer is an important decision-maker regarding payment of occupational healthcare-related costs for work-disabled employees, such as payment of wages and provision of vocational rehabilitation support. Hence, in line with recent economical evaluations for participatory RTW interventions for regular employees (20,21), an economical evaluation was conducted from the social insurer's and societal perspective. From the social insurer's perspective, costs for occupational healthcare and paid sickness benefit were included.…”

Section: The Dutch Social Security Contextmentioning

confidence: 99%

“…To calculate the productivity gain during work resumption with ongoing sickness benefit, the total number of working hours (with ongoing sickness benefit) during the 12-month follow-up was multiplied by the estimated price of productivity per hour based on age and gender (20,21). Level of education was not part of the proxy for estimation of productivity gain because, at baseline, the level of education was higher in the intervention group.…”

Section: Costs Resources and Valuationmentioning

confidence: 99%

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Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders

Vermeulen¹,

Heijmans²,

Anema³

et al. 2012

Scand J Work Environ Health

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Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders by Vermeulen SJ, Heymans MW, Anema JR, Schellart AJM, van Mechelen W, van der Beek AJThe new participatory return-to-work program for temporary agency workers and unemployed workers, sick-listed due to MSD, was more costly than usual care, but enhanced work resumption and generated a net economic benefit for society due to productivity gain. Shared investments by government and employers are needed to enhance labor force participation of vulnerable working populations. Original article Scand J Work Environ Health. 2013;39(1):46-56. doi:10.5271/sjweh.3314 Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders Objective The aim of the study was to evaluate the cost-effectiveness, -utility, and -benefit of a newly developed participatory return-to-work (RTW) program for temporary agency and unemployed workers, sick-listed due to musculoskeletal disorders. AffiliationMethods An economic evaluation was conducted alongside a randomized controlled trial with a 12-month follow-up. Temporary agency and unemployed workers, sick-listed for 2-8 weeks due to musculoskeletal disorders, were randomized to the participatory RTW program (N=79) or usual care group (N=84). The new RTW program was aimed at making a consensus-based RTW action plan with the possibility of a temporary (therapeutic) workplace. Effect outcomes were sustainable RTW and quality-adjusted life years (QALY). Healthcare utilization was measured from the social insurer's perspective and societal perspective. . The cost-effectiveness analyses showed that the new intervention was more effective but also more costly than usual care (ie, to gain RTW one day earlier in the participatory RTW program group, approximately 80 euros needed to be invested). The net societal benefit of the participatory RTW program compared to care-as-usual was 2073 euros per worker. ConclusionsThe newly developed participatory RTW program was more effective but also more costly than usual care. The program enhanced work resumption and generated a net socioeconomic benefit. Hence, implementation of the participatory RTW program may have potential to achieve a sustainable contribution of vulnerable workers to the labor force.

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Section: Costs Resources and Valuationsupporting

confidence: 81%

Section: The Dutch Social Security Contextmentioning

confidence: 99%

Section: Costs Resources and Valuationmentioning

confidence: 99%

See 1 more Smart Citation

Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders

Vermeulen¹,

Heijmans²,

Anema³

et al. 2012

Scand J Work Environ Health

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show abstract

“…An exception to this was a workplace intervention combined with graded activity and intensive medical guidance by an occupational physician for workers sick-listed for long-lasting low back pain. This intervention was highly cost-effective [26].…”

Section: Managing Work-related Problems Of Workers With a Chronic Dismentioning

confidence: 99%

Workers with a chronic disease and work disability

Varekamp¹,

Dijk

Kroll

2013

Bundesgesundheitsbl.

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“…Ten years ago, we were still asking if workplace interventions were an effective means for secondary prevention of low back pain [16]. Today, we know more and judge workplace-based efforts as main solutions for reducing sick leave and return to work for sick-listed employees with MSD and common mental disorders [17][18][19][20][21]. The Workplace Disability Prevention and Integration (WDPI) community of researchers is these days building a strong body of knowledge about workplacebased efforts worldwide, as still much is unknown.…”

Section: Introductionmentioning

confidence: 99%

Unifying and diversifying workplace-based efforts for promoting health and preventing disability

Wågø

Raanaas

Shaw³

2015

WOR

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Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial

Abstract: Objective To evaluate the cost effectiveness, cost utility, and cost-benefit of an integrated care programme compared with usual care for sick listed patients with chronic low back pain.

Cited by 125 publications

References 24 publications

Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders

Economic evaluation of a participatory return-to-work intervention for temporary agency and unemployed workers sick-listed due to musculoskeletal disorders

Workers with a chronic disease and work disability

Unifying and diversifying workplace-based efforts for promoting health and preventing disability

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