瑞典初级保健中患有常见精神障碍的员工在工作场所参与解决问题的干预措施的经济评估:来自集群随机对照试验的结果
Hanna Gyllensten1, Gunnar Bergström2, Sara Freyland3
1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Value in health regional issues
|December 17, 2025
概括
与工作场所参与解决问题的干预 (PSI-WPI) 对因常见精神障碍而病假的员工来说不具有成本效益. 该干预导致病缺率增加,医疗保健费用高于常规护理 (CAU).
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 心理健康经济学 心理健康经济学
- 主要医疗保健研究研究.
背景情况:
- 常见的精神障碍是员工病假的重要原因之一.
- 需要有效的干预措施来减少与心理健康问题相关的缺勤和医疗保健费用.
研究的目的:
- 评估与工作场所参与 (PSI-WPI) 与照顾通常 (CAU) 的解决问题干预措施的成本效益.
- 评估瑞典初级保健中患有常见精神疾病的员工的病假和医疗费用的影响.
主要方法:
- 一个受控的集群随机试验,涉及197名因常见精神障碍而病假的员工.
- 经济评估包括18个月的医疗保健和社会视角的成本效益和成本效益分析.
- 进行了敏感性分析,以评估研究结果的可靠性.
主要成果:
- 与CAU组相比,PSI-WPI组的病缺时间显著增加 (40个额外的天),医疗费用更高 (21,650瑞典克朗).
- 经质量调整的寿命年数显示,两组之间差异微不足道.
- 敏感性分析证实了结果的稳定性,而非向性诊断是显著的成本驱动因素.
结论:
- 对于因常见精神障碍而病假的员工来说,PSI-WPI的干预措施没有被认为是具有成本效益的.
- 照顾通常 (CAU) 在这个人群中似乎是一个更具成本效益的方法.
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