Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders
| Autor: | Ute Bültmann, David Lee Sherson, Jørgen Kilsgaard, Jens Olsen, Thomas Lund, Carl Lysbeck Hansen |
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| Přispěvatelé: | Science in Healthy Ageing & healthcaRE (SHARE), Life Course Epidemiology (LCE), Public Health Research (PHR) |
| Rok vydání: | 2008 |
| Předmět: |
Employment
medicine.medical_specialty Cost effectiveness medicine.medical_treatment Denmark Psychological intervention Work Capacity Evaluation Interdisciplinary team Sickness absence law.invention FUTURE DISABILITY PENSION COST-EFFECTIVENESS Disability Evaluation Musculoskeletal disorder Randomized controlled trial Occupational Therapy law Cost Savings RETURN-TO-WORK Health care MANAGEMENT INJURY Medicine Humans Musculoskeletal Diseases Coordinated rehabilitation DANISH VERSION Rehabilitation business.industry Recovery of Function medicine.disease PREVENTION Economic evaluation Sick leave Physical therapy MULTISTAGE RETURN Sick Leave business Case Management LOW-BACK-PAIN INTERVENTIONS |
| Zdroj: | Bültmann, U, Sherson, D, Olsen, J, Lysbeck Hansen, C, Lund, T & Kilsgaard, J 2009, ' Coordinated and Tailored Work Rehabilitation : A Randomized Controlled Trial with Economic Evaluation Undertaken with Workers on Sick Leave Due to Musculoskeletal Disorders ', Journal of Occupational Rehabilitation, vol. 19, no. 1, pp. 81-93 . https://doi.org/10.1007/s10926-009-9162-7 Journal of Occupational Rehabilitation, 19(1), 81-93. SPRINGER/PLENUM PUBLISHERS |
| ISSN: | 1573-3688 1053-0487 |
| DOI: | 10.1007/s10926-009-9162-7 |
| Popis: | Introduction In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new "coordinated and tailored work rehabilitation" (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-to-work of workers on sick leave due to musculoskeletal disorders (MSDs). Methods The study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries. Results For the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US $ 1,366 per person at 6 months follow-up and US $ 10,666 per person at 12 months follow-up. Conclusions Workers on sick leave for 4-12 weeks due to MSD who underwent "CTWR" by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society. |
| Databáze: | OpenAIRE |
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