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Document ID (ISN)112213
CIS number 11-0895
ISSN - Serial title 1351-0711 - Occupational and Environmental Medicine
Year 2010
Convention or series no.
Author(s) van Oostrom S.H., Heymans M.W., de Vet H.C., van Tulder M.W., van Mechelen W., Anema J.R.
Title Economic evaluation of a workplace intervention for sick-listed employees with distress
Bibliographic information Sep. 2010, Vol.67, No.9, p.603-610. Illus. 37 ref.
Abstract The objective of this study was to evaluate the cost effectiveness, cost utility and cost benefit of a workplace intervention compared with usual care for sick-listed employees with distress. An economic evaluation was conducted alongside a randomised controlled trial. Employees with distress and who were sick-listed for 2-8 weeks were randomised to a workplace intervention (n=73) or to usual care (n=72). The workplace intervention is a stepwise process involving the sick-listed employee and their supervisor, aimed at formulating a consensus-based plan for return to work (RTW). The effect outcomes were lasting RTW and quality-adjusted life years (QALYs). Healthcare utilisation was measured over 12 months. Cost effectiveness analyses (CEA) and cost utility analyses (CUA) were conducted from the societal perspective and cost benefit analyses (CBA) from the employer perspective. Bootstrapping techniques were used to estimate cost and effect differences, and cost effectiveness and cost utility ratios. Cost effectiveness planes were presented and subgroup analyses were performed. CEA and CUA revealed no statistically significant differences in lasting RTW, QALYs or costs. The CBA indicated a statistically significant higher cost of occupational health services in the workplace intervention group. The workplace intervention was not cost effective according to the CEA, CUA and CBA. Widespread implementation of the workplace intervention for sick-listed employees with distress is not recommended because there is no economic benefit compared with usual care.
Descriptors (primary) sickness absenteeism; mental health; health programmes; cost-benefit analysis
Descriptors (secondary) Netherlands; large enterprises; comparative study; programme evaluation; statistical evaluation; role of supervisory staff; economic aspects
Document type D - Periodical articles
Subject(s) Occupational pathology
Psychology and sociology
Broad subject area(s) Stress, psychosocial factors
Occupational medicine, epidemiology
Browse category(ies) Workplace health promotion
Mental health