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首页> 外文期刊>Occupational and environmental medicine >Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study.
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Cost-benefit and cost-effectiveness analysis of a disability prevention model for back pain management: a six year follow up study.

机译:背痛管理的残疾预防模型的成本效益和成本效益分析:为期六年的随访研究。

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AIMS: To test the long term cost-benefit and cost-effectiveness of the Sherbrooke model of management of subacute occupational back pain, combining an occupational and a clinical rehabilitation intervention. METHODS: A randomised trial design with four arms was used: standard care, occupational arm, clinical arm, and Sherbrooke model arm (combined occupational and clinical interventions). From the Quebec WCB perspective, a cost-benefit (amount of consequence of disease costs saved) and cost-effectiveness analysis (amount of dollars spent for each saved day on full benefits) were calculated for each experimental arm of the study, compared to standard care. RESULTS: At the mean follow up of 6.4 years, all experimental study arms showed a trend towards cost benefit and cost effectiveness. These results were owing to a small number of very costly cases. The largest number of days saved from benefits was in the Sherbrooke model arm. CONCLUSIONS: A fully integrated disability prevention model for occupational back pain appeared to be cost beneficial for the workers' compensation board and to save more days on benefits than usual care or partial interventions. A limited number of cases were responsible for most of the long term disability costs, in accordance with occupational back pain epidemiology. However, further studies with larger samples will be necessary to confirm these results.
机译:目的:为了测试亚急性职业性背痛的Sherbrooke管理模型的长期成本效益和成本效益,将职业性干预和临床康复干预相结合。方法:采用四组随机试验设计:标准护理,职业组,临床组和Sherbrooke模型组(职业和临床干预相结合)。从魁北克WCB的角度来看,与标准相比,计算了研究的每个实验部门的成本收益(节省的疾病成本的后果量)和成本效益分析(每个节省的天数为获得全部收益所花费的金额)关心。结果:平均随访6.4年,所有实验研究部门均显示出成本效益和成本效益的趋势。这些结果归因于少数非常昂贵的案件。受益最多的天数是在Sherbrooke模型组中。结论:针对职业性背痛的完全综合的残疾预防模型似乎对工人补偿委员会具有成本效益,并且比通常的护理或部分干预节省了更多的工作日。根据职业性背痛流行病学,有限的病例负责大部分长期伤残费用。但是,有必要对更大的样本进行进一步的研究以确认这些结果。

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