Economic Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders
Purpose: To evaluate the cost-effectiveness and cost-benefit of inpatient multimodal occupational rehabilitation (I-MORE) compared to outpatient acceptance and commitment therapy (O-ACT) for individuals sick listed due to musculoskeletal- or common mental disorders during two-years of follow-up. Met...
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| Veröffentlicht in: | Journal of occupational rehabilitation 2023-09, Vol.33 (3), p.463-472 |
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| container_title | Journal of occupational rehabilitation |
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| creator | Aasdahl, Lene Fimland, Marius Steiro Bjørnelv, Gudrun M.W Gismervik, Sigmund Østgård Johnsen, Roar Vasseljen, Ottar Halsteinli, Vidar |
| description | Purpose:
To evaluate the cost-effectiveness and cost-benefit of inpatient multimodal occupational rehabilitation (I-MORE) compared to outpatient acceptance and commitment therapy (O-ACT) for individuals sick listed due to musculoskeletal- or common mental disorders during two-years of follow-up.
Methods:
We conducted an economic evaluation with a societal perspective alongside a randomized controlled trial with 24 months follow-up. Individuals sick listed 2 to 12 months were randomized to I-MORE (n = 85) or O-ACT (n = 79). The outcome was number of working days. Healthcare use and sick leave data were obtained by registry data.
Results:
Total healthcare costs during the 24 months was 12,057 euros (95% CI 9,181 to 14,933) higher for I-MORE compared to O-ACT, while the difference in production loss was 14,725 euros (95% CI -1,925 to 31,375) in favour of I-MORE. A difference of 43 (95% CI -6 to 92) workdays, in favour of I-MORE, gave an incremental cost-effectiveness ratio of 278 euros for one workday, less than the cost of one day production (339 euros). Net societal benefit was 2,667 euros during two years of follow-up.
Conclusion:
Despite considerable intervention costs, the lower production loss resulted in I-MORE being cost-effective when compared to O-ACT. Based on economic arguments, I-MORE should be implemented as a treatment alternative for individuals on long-term sick leave. However, more research on subgroup effects and further follow-up of participants’ permanent disability pension awards are warranted. |
| doi_str_mv | 10.1007/s10926-022-10085-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10495483</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A764888147</galeid><sourcerecordid>A764888147</sourcerecordid><originalsourceid>FETCH-LOGICAL-c567t-f3fb3b95bd2dc978ac60f9ef80d78ebde99f552c059bfe4691e8d121160e20273</originalsourceid><addsrcrecordid>eNp9UttuEzEQXSEQLYUf4AFZ4oWXDV7vzX5CUQhQKVUkKOLR8npnEze7dmp7g_p5_BmTpmkpQsiSb3POmRn7JMnrjE4ySuv3IaOCVSllLMUzL1P6JDnNyjpP84rzp7inZZ7SgtcnyYsQriilgtfseXKSV6IQrCxOk19z7awbjCbznepHFY2zxHXk3G5xDzaSi7GPZnCt6slS63F7C8HDV1irxvQmHji7MCHLMR5ZU61hG5XVQJRtycwNg4nDPnK5Bq-2N6RznnwzepMuTIjQkh_Ob8AH8tPENSYNeuxd2EAPUfUpQfBeAxNdoAim_2iC8y0SXibPOtUHeHW3niXfP80vZ1_SxfLz-Wy6SHVZ1THt8q7JG1E2LWu1qLnSFe0EdJy2NYemBSG6smSalqLpoKhEBrzNWJZVFBhldX6WfDjobsdmgFZjGV71cuvNoPyNdMrIxxFr1nLldjKjhSgLnqMCOShojy0bK63zCsO8ZDhn4hby7i6Jd9cjhCgHEzT0vbLgxiBZLSh-KK0qhL79C3rlRo8_gyhe5RWWTNkDaqV6kMZ2DmvTe1E5rauCc54V-94m_0DhaAGt4Sx0Bu8fEdixFReCh-7-HTIq9-aUB3NKNKe8NaekSHrz5wveU45uREB-AAQM2RX4h5b-I_sb4IvyIQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2863627302</pqid></control><display><type>article</type><title>Economic Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders</title><source>NORA - Norwegian Open Research Archives</source><source>SpringerNature Journals</source><creator>Aasdahl, Lene ; Fimland, Marius Steiro ; Bjørnelv, Gudrun M.W ; Gismervik, Sigmund Østgård ; Johnsen, Roar ; Vasseljen, Ottar ; Halsteinli, Vidar</creator><creatorcontrib>Aasdahl, Lene ; Fimland, Marius Steiro ; Bjørnelv, Gudrun M.W ; Gismervik, Sigmund Østgård ; Johnsen, Roar ; Vasseljen, Ottar ; Halsteinli, Vidar</creatorcontrib><description>Purpose:
To evaluate the cost-effectiveness and cost-benefit of inpatient multimodal occupational rehabilitation (I-MORE) compared to outpatient acceptance and commitment therapy (O-ACT) for individuals sick listed due to musculoskeletal- or common mental disorders during two-years of follow-up.
Methods:
We conducted an economic evaluation with a societal perspective alongside a randomized controlled trial with 24 months follow-up. Individuals sick listed 2 to 12 months were randomized to I-MORE (n = 85) or O-ACT (n = 79). The outcome was number of working days. Healthcare use and sick leave data were obtained by registry data.
Results:
Total healthcare costs during the 24 months was 12,057 euros (95% CI 9,181 to 14,933) higher for I-MORE compared to O-ACT, while the difference in production loss was 14,725 euros (95% CI -1,925 to 31,375) in favour of I-MORE. A difference of 43 (95% CI -6 to 92) workdays, in favour of I-MORE, gave an incremental cost-effectiveness ratio of 278 euros for one workday, less than the cost of one day production (339 euros). Net societal benefit was 2,667 euros during two years of follow-up.
Conclusion:
Despite considerable intervention costs, the lower production loss resulted in I-MORE being cost-effective when compared to O-ACT. Based on economic arguments, I-MORE should be implemented as a treatment alternative for individuals on long-term sick leave. However, more research on subgroup effects and further follow-up of participants’ permanent disability pension awards are warranted.</description><identifier>ISSN: 1053-0487</identifier><identifier>ISSN: 1573-3688</identifier><identifier>EISSN: 1573-3688</identifier><identifier>DOI: 10.1007/s10926-022-10085-0</identifier><identifier>PMID: 36949254</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acceptance ; Clinical Psychology ; Comparative analysis ; Cost analysis ; Cost benefit analysis ; Costs ; Economic aspects ; Economics ; Effectiveness ; Employee benefits ; Environmental Health ; Health care ; Health Psychology ; Medical care, Cost of ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental illness ; Occupational Medicine/Industrial Medicine ; Orthopedics ; Rehabilitation ; Sick leave ; Social aspects ; Subgroups</subject><ispartof>Journal of occupational rehabilitation, 2023-09, Vol.33 (3), p.463-472</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c567t-f3fb3b95bd2dc978ac60f9ef80d78ebde99f552c059bfe4691e8d121160e20273</citedby><cites>FETCH-LOGICAL-c567t-f3fb3b95bd2dc978ac60f9ef80d78ebde99f552c059bfe4691e8d121160e20273</cites><orcidid>0000-0003-4276-1345</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10926-022-10085-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10926-022-10085-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,26567,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36949254$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aasdahl, Lene</creatorcontrib><creatorcontrib>Fimland, Marius Steiro</creatorcontrib><creatorcontrib>Bjørnelv, Gudrun M.W</creatorcontrib><creatorcontrib>Gismervik, Sigmund Østgård</creatorcontrib><creatorcontrib>Johnsen, Roar</creatorcontrib><creatorcontrib>Vasseljen, Ottar</creatorcontrib><creatorcontrib>Halsteinli, Vidar</creatorcontrib><title>Economic Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders</title><title>Journal of occupational rehabilitation</title><addtitle>J Occup Rehabil</addtitle><addtitle>J Occup Rehabil</addtitle><description>Purpose:
To evaluate the cost-effectiveness and cost-benefit of inpatient multimodal occupational rehabilitation (I-MORE) compared to outpatient acceptance and commitment therapy (O-ACT) for individuals sick listed due to musculoskeletal- or common mental disorders during two-years of follow-up.
Methods:
We conducted an economic evaluation with a societal perspective alongside a randomized controlled trial with 24 months follow-up. Individuals sick listed 2 to 12 months were randomized to I-MORE (n = 85) or O-ACT (n = 79). The outcome was number of working days. Healthcare use and sick leave data were obtained by registry data.
Results:
Total healthcare costs during the 24 months was 12,057 euros (95% CI 9,181 to 14,933) higher for I-MORE compared to O-ACT, while the difference in production loss was 14,725 euros (95% CI -1,925 to 31,375) in favour of I-MORE. A difference of 43 (95% CI -6 to 92) workdays, in favour of I-MORE, gave an incremental cost-effectiveness ratio of 278 euros for one workday, less than the cost of one day production (339 euros). Net societal benefit was 2,667 euros during two years of follow-up.
Conclusion:
Despite considerable intervention costs, the lower production loss resulted in I-MORE being cost-effective when compared to O-ACT. Based on economic arguments, I-MORE should be implemented as a treatment alternative for individuals on long-term sick leave. However, more research on subgroup effects and further follow-up of participants’ permanent disability pension awards are warranted.</description><subject>Acceptance</subject><subject>Clinical Psychology</subject><subject>Comparative analysis</subject><subject>Cost analysis</subject><subject>Cost benefit analysis</subject><subject>Costs</subject><subject>Economic aspects</subject><subject>Economics</subject><subject>Effectiveness</subject><subject>Employee benefits</subject><subject>Environmental Health</subject><subject>Health care</subject><subject>Health Psychology</subject><subject>Medical care, Cost of</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental illness</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Orthopedics</subject><subject>Rehabilitation</subject><subject>Sick leave</subject><subject>Social 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Lene</creator><creator>Fimland, Marius Steiro</creator><creator>Bjørnelv, Gudrun M.W</creator><creator>Gismervik, Sigmund Østgård</creator><creator>Johnsen, Roar</creator><creator>Vasseljen, Ottar</creator><creator>Halsteinli, Vidar</creator><general>Springer US</general><general>Springer</general><general>Springer Nature 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Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders</title><author>Aasdahl, Lene ; Fimland, Marius Steiro ; Bjørnelv, Gudrun M.W ; Gismervik, Sigmund Østgård ; Johnsen, Roar ; Vasseljen, Ottar ; Halsteinli, Vidar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c567t-f3fb3b95bd2dc978ac60f9ef80d78ebde99f552c059bfe4691e8d121160e20273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acceptance</topic><topic>Clinical Psychology</topic><topic>Comparative analysis</topic><topic>Cost analysis</topic><topic>Cost benefit analysis</topic><topic>Costs</topic><topic>Economic aspects</topic><topic>Economics</topic><topic>Effectiveness</topic><topic>Employee benefits</topic><topic>Environmental Health</topic><topic>Health care</topic><topic>Health Psychology</topic><topic>Medical care, Cost of</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental illness</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Orthopedics</topic><topic>Rehabilitation</topic><topic>Sick leave</topic><topic>Social aspects</topic><topic>Subgroups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aasdahl, Lene</creatorcontrib><creatorcontrib>Fimland, Marius Steiro</creatorcontrib><creatorcontrib>Bjørnelv, Gudrun M.W</creatorcontrib><creatorcontrib>Gismervik, Sigmund Østgård</creatorcontrib><creatorcontrib>Johnsen, Roar</creatorcontrib><creatorcontrib>Vasseljen, Ottar</creatorcontrib><creatorcontrib>Halsteinli, Vidar</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium 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Archives</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of occupational rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aasdahl, Lene</au><au>Fimland, Marius Steiro</au><au>Bjørnelv, Gudrun M.W</au><au>Gismervik, Sigmund Østgård</au><au>Johnsen, Roar</au><au>Vasseljen, Ottar</au><au>Halsteinli, Vidar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Economic Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders</atitle><jtitle>Journal of occupational rehabilitation</jtitle><stitle>J Occup Rehabil</stitle><addtitle>J Occup Rehabil</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>33</volume><issue>3</issue><spage>463</spage><epage>472</epage><pages>463-472</pages><issn>1053-0487</issn><issn>1573-3688</issn><eissn>1573-3688</eissn><abstract>Purpose:
To evaluate the cost-effectiveness and cost-benefit of inpatient multimodal occupational rehabilitation (I-MORE) compared to outpatient acceptance and commitment therapy (O-ACT) for individuals sick listed due to musculoskeletal- or common mental disorders during two-years of follow-up.
Methods:
We conducted an economic evaluation with a societal perspective alongside a randomized controlled trial with 24 months follow-up. Individuals sick listed 2 to 12 months were randomized to I-MORE (n = 85) or O-ACT (n = 79). The outcome was number of working days. Healthcare use and sick leave data were obtained by registry data.
Results:
Total healthcare costs during the 24 months was 12,057 euros (95% CI 9,181 to 14,933) higher for I-MORE compared to O-ACT, while the difference in production loss was 14,725 euros (95% CI -1,925 to 31,375) in favour of I-MORE. A difference of 43 (95% CI -6 to 92) workdays, in favour of I-MORE, gave an incremental cost-effectiveness ratio of 278 euros for one workday, less than the cost of one day production (339 euros). Net societal benefit was 2,667 euros during two years of follow-up.
Conclusion:
Despite considerable intervention costs, the lower production loss resulted in I-MORE being cost-effective when compared to O-ACT. Based on economic arguments, I-MORE should be implemented as a treatment alternative for individuals on long-term sick leave. However, more research on subgroup effects and further follow-up of participants’ permanent disability pension awards are warranted.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36949254</pmid><doi>10.1007/s10926-022-10085-0</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4276-1345</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1053-0487 |
| ispartof | Journal of occupational rehabilitation, 2023-09, Vol.33 (3), p.463-472 |
| issn | 1053-0487 1573-3688 1573-3688 |
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| source | NORA - Norwegian Open Research Archives; SpringerNature Journals |
| subjects | Acceptance Clinical Psychology Comparative analysis Cost analysis Cost benefit analysis Costs Economic aspects Economics Effectiveness Employee benefits Environmental Health Health care Health Psychology Medical care, Cost of Medicine Medicine & Public Health Mental disorders Mental illness Occupational Medicine/Industrial Medicine Orthopedics Rehabilitation Sick leave Social aspects Subgroups |
| title | Economic Evaluation of Inpatient Multimodal Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy for Sick-Listed Workers with Musculoskeletal- or Common Mental Disorders |
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