Մատենագիտական մանրամասներ
| Վերնագիր: |
Cost analysis comparing guideline-oriented biopsychosocial management to usual care for low-back pain: a cluster-randomized trial in occupational health primary care |
| Հեղինակներ: |
Maija Paukkunen, Jaro Karppinen, Birgitta Öberg, Leena Ala-Mursula, Eveliina Heikkala, Katja Ryynänen, Riikka Holopainen, Samuel Booth, Neill Booth, Allan Abbott |
| Աղբյուր: |
Scandinavian Journal of Work, Environment & Health, Vol 51, Iss 3, Pp 201-213 (2025) |
| Հրատարակչի Տեղեկություններ: |
Nordic Association of Occupational Safety and Health (NOROSH), 2025. |
| Հրատարակման տարին: |
2025 |
| Հավաքածու: |
LCC:Public aspects of medicine |
| Խորագրային տերմիններ: |
low-back pain, occupational health, screening, occupational health service, health services research, return to work, pain, workability, resource, cluster-randomized trial, implementation research, risk stratification, örebro musculoskeletal pain screening questionnaire, cost analysis, biopsychosocial management, occupational health primary care, Public aspects of medicine, RA1-1270 |
| Նկարագրություն: |
OBJECTIVES: This study aimed to investigate the effect of a brief training intervention for occupational health services (OHS) professionals on multiprofessional resource utilization and the costs of biopsychosocial management of patients with low-back pain (LBP) compared to usual care among all participants and those in work disability-based risk groups. METHODS: OHS utilization and back-related sick leave data were collected from electronic patient records over one-year follow-up comparing 232 patients in the intervention arm and 80 control-arm patients, stratified for risk of work disability based on the Örebro Musculoskeletal Pain Screening Questionnaire. We estimated costs using linear mixed models by multiplying unit costs (in euros) by each type of OHS resource use (visits to physicians, physiotherapists, nurses, use of imaging) and the number of sick leaves. Estimated mean cost differences with confidence intervals (CI) were reported using bootstrapping to deal with skewed cost data. RESULTS: The median number of visits to physicians and physiotherapists in the intervention versus control arms was 1 [interquartile range (IQR) 0–3] and 2 (IQR 1–4) versus 2 (IQR 1–3) and 1 (IQR 0–2), respectively. The intervention arm accrued lower physician costs (€-43, 95% CI €-82– -3, P=0.034) and higher physiotherapist costs (€55, 95% CI €26–84, P |
| Փաստաթղթերի տեսակ: |
article |
| Նիշքի նկարագրություն: |
electronic resource |
| Լեզու: |
English |
| ISSN: |
0355-3140
1795-990X |
| Relation: |
https://www.sjweh.fi/article/4212; https://doaj.org/toc/0355-3140; https://doaj.org/toc/1795-990X |
| DOI: |
10.5271/sjweh.4212 |
| Հասանելի URL: |
https://doaj.org/article/dff5516bcf5d43fb83c69a40a65a3368 |
| Միացման թիվը: |
edsdoj.ff5516bcf5d43fb83c69a40a65a3368 |
| Շտեմարան: |
Directory of Open Access Journals |