职业疗法对精神疾病患者重返工作干预的成本效益:一项系统综述

IF 1.9 4区 医学 Q2 REHABILITATION
Suzanne Johanson, Lisa Gregersen Oestergaard, Ulrika Bejerholm, Carita Nygren, Maurits van Tulder, Magnus Zingmark
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引用次数: 0

摘要

背景:精神健康障碍患者重返工作岗位(RTW)的资源是有限的,费用通常由社会上的几个利益攸关方分担。职业治疗师(OT)为这一目标群体提供RTW干预措施,然而,需要增加对健康和就业影响的了解,以及成本,以便更好地告知决策者其优先事项。目的/目标:确定和总结门诊为精神健康障碍患者提供的康复治疗干预措施的成本效益的证据。材料与方法:系统检索358篇文献。经筛选,9篇文章符合纳入标准并进行了回顾。质量评估采用乔安娜布里格斯研究所的经济评估工具进行。结果:支持就业、个人安置和支持在一些情况下具有成本效益,而三项研究显示更大的效果和更高的成本。在重度抑郁症的治疗中加入OT干预是有成本效益的,而先进的支持性就业是有成本效益的。不同研究的方法学质量差异很大。结论和意义:纳入的研究结果是有希望的,然而,为了进一步加强OT RTW干预措施的经济视角,在未来的研究中,需要进行更多和方法学上稳健的经济评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cost-effectiveness of occupational therapy return-to-work interventions for people with mental health disorders: A systematic review.

Background: Return-to-work (RTW) resources for persons with mental health disorders are limited and costs are typically shared by several stakeholders in society. Occupational therapists (OT) provide RTW interventions for this target group, however, increased knowledge of health, and employment effects, as well as costs are needed to better inform decision makers in their prioritisations.

Aims/objectives: To identify and summarise evidence of cost-effectiveness of RTW interventions for persons with mental health disorders which OTs provide.

Materials and methods: A systematic search was applied and resulted in 358 articles. After screening, nine articles met inclusion criteria and were reviewed. Quality assessment was conducted using the economic evaluation tool by Joanna Briggs Institute.

Results: Supported employment, Individual Placement and Support was cost-effective in several contexts while three studies showed larger effects and higher costs. An OT intervention added to treatment for major depression was indicated to be cost-beneficial and an advanced supported employment was cost-saving. The methodological quality varied considerably between studies.

Conclusions and significance: The results of the included studies are promising, however, to further strengthen the economic perspective in OT RTW interventions, the need for conducting more and methodologically robust economic evaluations is crucial in future studies.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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