個人の配置と支援の実施による投資収益率の見積もり
A-La Park1,2, David McDaid2, Miles Rinaldi3,4
1Centre for Work and Mental Health, Nordland Hospital Trust, Bodø, Norway.
Psychiatric services (Washington, D.C.)
|February 18, 2026
まとめ
個人の配置と支援 (IPS) は,ノルウェーの雇用サービスに対する投資収益率 (ROI) が正であることを示しています. この支援雇用アプローチは,社会と公的財布の両方に利益をもたらします.
科学分野:
- 健康経済学 医療経済学
- リハビリテーションサービス
- 雇用支援のための雇用支援
背景:
- 個別の配置とサポート (IPS) は,支援雇用に対するエビデンスベースのアプローチです.
- IPSの経済的可行性を評価することは,その広範な実施に不可欠です.
- ノルウェーの福祉制度は,18歳から40歳までの個人にリハビリテーション給付を提供している.
研究 の 目的:
- ノルウェーにおける個人配置・支援 (IPS) の導入による投資収益率 (ROI) を評価する.
- IPSの実施による経済的成果と,IPSのない地域との比較を図る.
- 社会的および公共の利益の両方の視点からコストと利益を分析する.
主な方法:
- 4つの状態,4年間のマルコフモデルが分析に使用されました.
- データは,縦断登録データ,IPSコストデータ,既存の文献から得られた.
- この研究では,期間限定の健康関連のリハビリテーション福祉給付を受けた561人の新規受給者を対象とした.
主要な成果:
- 社会的ROIは4.76 (Int$260万の純利益),公的ROIは1.34 (Int$24万の純利益) でした.
- IPSの実施により,年間67.8年分のフルタイム・エクイваленット (FTE) の追加労働年が生じた.
- IPSが負のROIを生むには,ワークアセスメント・アポ (WAA) 給付の24%の削減が必要となる.
結論:
- IPSは,社会的および公共利益の観点から,それぞれ1年および3年以内にポジティブなROIを示しています.
- IPSの積極的な経済的影響は,保守的な仮定でも明らかです.
- 医療利用の削減を含むより広範な利益は,IPSの経済的価値をさらに高めます.
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