估计从实施个人安置和支持的投资回报率
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
概括
个人安置和支持 (IPS) 显示,挪威就业服务的投资回报率 (ROI) 是积极的. 这种支持就业的方法既有利于社会,也有利于公共财政.
科学领域:
- 卫生经济学 卫生经济学
- 康复服务 康复服务
- 支持就业 支持就业
背景情况:
- 个人安置和支持 (IPS) 是一种基于证据的支持就业方法.
- 评估IPS的经济可行性对于其广泛实施至关重要.
- 挪威的福利制度为18-40岁的个人提供康复福利.
研究的目的:
- 评估在挪威实施个人安置和支持 (IPS) 的投资回报率 (ROI).
- 将IPS实施的经济成果与没有IPS的地区进行比较.
- 从社会和公共利益的角度分析成本和收益.
主要方法:
- 一个四态,四年马尔科夫模型被用于分析.
- 数据来源于纵向注册表数据,IPS成本数据和现有文献.
- 这项研究包括了561名新的受益者,他们获得了与健康相关的时间有限的康复福利.
主要成果:
- 社会投资回报率为4.76 (英特尔260万美元的净收益),公共基金投资回报率为1.34 (英特尔24万美元的净收益).
- IPS的实施每年产生了67.8个额外的全职等价 (FTE) 工作年.
- 要使IPS产生负投资回报率,就需要将工作评估补贴 (WAA) 福利减少24%.
结论:
- 从社会和公共利益的角度来看,IPS在1年和3年内表现出积极的ROI.
- 即使在保守的假设下,IPS的积极经济影响也很明显.
- 更广泛的好处,包括减少医疗保健利用率,进一步提高了IPS的经济价值.
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