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L773:0803 9488
 

Sökning: L773:0803 9488 > (2015-2019) > Jarl Johan > Cost-effectiveness ...

Cost-effectiveness of supported employment adapted for people with affective disorders

Saha, Sanjib (författare)
Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
Bejerholm, Ulrika (författare)
Lund University,Lunds universitet,Psykisk hälsa, aktivitet och delaktighet,Forskargrupper vid Lunds universitet,Mental Health, Activity and Participation,Lund University Research Groups
Gerdtham, Ulf G. (författare)
Lund University,Lunds universitet,Institutet för Ekonomisk forskning,Ekonomihögskolan,Nationalekonomiska institutionen,Hälsoekonomi,Forskargrupper vid Lunds universitet,Institute of Economic Research,Lund University School of Economics and Management, LUSEM,Department of Economics,Lund University School of Economics and Management, LUSEM,Health Economics,Lund University Research Groups
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Jarl, Johan (författare)
Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
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 (creator_code:org_t)
2018-01-09
2018
Engelska 4 s.
Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 72:3, s. 236-239
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: The individual enabling and support (IES) model was effective in gaining competitive employment for people with affective disorders compared with traditional vocational rehabilitation (TVR) services in a randomized controlled trial in a Swedish setting. The object of this study is to perform a cost-effectiveness analysis of IES comparing to TVR. Methods: We considered the costs of intervention and productivity gain due to increased competitive employment. We estimated quality of life using EuroQol 5 Dimension (EQ-5D) and Manchester Short Assessment of Quality of Life (MANSA) scale. EQ-5D was translated into quality-adjusted life-years (QALY), using the UK, Danish, and Swedish tariffs. We performed the analysis from a societal perspective with a one-year timeframe. Results: The cost of IES was €7247 lower per person per year (2014 prices) compared to TVR. There were no significant differences in QALY improvement within or between groups. However, quality of life measured by the MANSA scale significantly improved over the study period in IES. Limitations: Besides the small sample size, details on the intervention costs for both IES and TVR group were unavailable and had to be obtained from external sources. Conclusions: Implementation of IES for people with affective disorders is most likely cost-saving and is potentially even dominating TVR, although a larger trial is required to establish this.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Nyckelord

affective disorders
cost-effectiveness analysis
Economic evaluation
QALY
supported employment

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Saha, Sanjib
Bejerholm, Ulrik ...
Gerdtham, Ulf G.
Jarl, Johan
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