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

Saha, Sanjib LU ; Bejerholm, Ulrika LU ; Gerdtham, Ulf G. LU and Jarl, Johan LU (2018) In Nordic Journal of Psychiatry 72(3). p.236-239
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
affective disorders, cost-effectiveness analysis, Economic evaluation, QALY, supported employment
in
Nordic Journal of Psychiatry
volume
72
issue
3
pages
4 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85041095021
ISSN
0803-9488
DOI
10.1080/08039488.2017.1422801
language
English
LU publication?
yes
id
71a397d7-fb22-4d22-8af3-b56663ccc6eb
date added to LUP
2018-02-23 08:21:47
date last changed
2018-05-29 10:32:30
@article{71a397d7-fb22-4d22-8af3-b56663ccc6eb,
  abstract     = {<p>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.</p>},
  author       = {Saha, Sanjib and Bejerholm, Ulrika and Gerdtham, Ulf G. and Jarl, Johan},
  issn         = {0803-9488},
  keyword      = {affective disorders,cost-effectiveness analysis,Economic evaluation,QALY,supported employment},
  language     = {eng},
  month        = {04},
  number       = {3},
  pages        = {236--239},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {Cost-effectiveness of supported employment adapted for people with affective disorders},
  url          = {http://dx.doi.org/10.1080/08039488.2017.1422801},
  volume       = {72},
  year         = {2018},
}