Norrefalk Jan-Rickard, Ekholm Karolina, Linder Jürgen, Borg Kristian, Ekholm Jan
Division of Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
J Rehabil Med. 2008 Jan;40(1):15-22. doi: 10.2340/16501977-0131.
The aim of this study was to evaluate the economic consequences of an 8-week multiprofessional rehabilitation programme for patients with persistent pain.
A group of 67 patients following the programme and a comparison group of 322 patients.
The effect on return to work was estimated using 3 different methods: (i) a matched sample approach; (ii) regression analysis; and (iii) propensity score matching. The economic benefit of the programme was estimated as a reduction in production losses due to sick-leave. This benefit was compared with the actual cost of the programme.
The benefit of the programme was estimated to be euro3,799-7,515 per treated patient and year. The total cost of the programme was estimated to be euro5,406 per patient. Based on these figures the total cost of the programme, including costs for patients remaining on sick-leave, had been recovered when the successfully rehabilitated patients had worked for 9-17 months. Any additional work after that yielded net economic benefits.
Since other studies indicate that a large proportion of the patients working after one year also work after 3 and 6 years, we conclude that this multiprofessional rehabilitation programme for patients with persistent pain most likely generates substantial net economic gains.
本研究旨在评估一项为期8周的针对持续性疼痛患者的多专业康复计划的经济后果。
一组67名参与该计划的患者以及一个由322名患者组成的对照组。
使用3种不同方法评估对重返工作岗位的影响：（i）匹配样本法；（ii）回归分析；以及（iii）倾向得分匹配法。该计划的经济效益估计为因病假导致的生产损失的减少。将这一效益与该计划的实际成本进行比较。
该计划的效益估计为每位接受治疗的患者每年3799 - 7515欧元。该计划的总成本估计为每位患者5406欧元。基于这些数据，当成功康复的患者工作9 - 17个月时，该计划的总成本，包括仍在病假的患者的成本，已得到回收。此后的任何额外工作都产生了净经济效益。
由于其他研究表明，很大一部分在一年后工作的患者在3年和6年后也仍在工作，我们得出结论，这项针对持续性疼痛患者的多专业康复计划很可能产生可观的净经济收益。
