Department of Psychiatry and Behavioral Sciences and Department of Public Health Sciences, University of California, Davis, 2450 48th Street, Sacramento, CA, 95817, USA.
Department of Public Health Sciences, Division of Health Policy and Management, University of California, Davis, 2103 Stockton Boulevard, Sacramento, CA, 95817, USA.
J Occup Rehabil. 2021 Mar;31(1):26-40. doi: 10.1007/s10926-020-09904-z.
Purpose The purpose of this systematic literature review (SLR) is to examine the state of knowledge about the cost-effectiveness of return-to-work (RTW) interventions targeted at workers with medically certified sickness absences related to mental disorders. Our SLR addresses the question, "What is the evidence for the cost-effectiveness of RTW interventions for mental illness related sickness absences?" Methods This SLR used a reviewer pair multi-phase screening of publically available peer-reviewed studies published between 2002 and 2019. Five electronic databases were searched: (1) MEDLINE 1946-Present, (2) MEDLINE: Epub-Ahead of Print and In-Process, (3) PsycINFO, (4) Econlit, and (5) Web of Science. Results 6138 unique citations were identified. Ten articles were included in the review. Eight of the ten studies were conducted in the Netherlands, one in Sweden, and one in Canada. Results of this SLR suggest there is evidence that RTW interventions for workers with medically certified sickness absences can be cost-effective. Conclusions Although this SLR's results suggest that economic evaluations of RTW interventions can be cost-effective, the use of economic evaluations for studies of these program types is in its infancy. Some jurisdictions (e.g., the Netherlands) seem to have recognized the need for economic evaluations. However, more research is needed in different disability system contexts. Furthermore, use of the standard economic evaluation approaches for healthcare interventions may limit the usefulness of results if the end-user is an employer or non-health organization. This may present the opportunity to introduce newer approaches that include work-related measures of effectiveness and analytical approaches.
目的 本系统文献回顾（SLR）旨在考察针对与精神障碍相关的有医学证明的病假缺勤的工人的重返工作岗位（RTW）干预措施的成本效益的知识现状。我们的 SLR 旨在回答“针对与精神疾病相关的病假缺勤的 RTW 干预措施的成本效益有哪些证据？”
方法 本 SLR 使用了审稿人对 2002 年至 2019 年期间发表的公开同行评审研究进行了多阶段的审查。共搜索了五个电子数据库：（1）MEDLINE 1946 年至今，（2）MEDLINE：Epub 提前印刷和处理中，（3）PsycINFO，（4）Econlit，和（5）Web of Science。
结果 共确定了 6138 个独特的引用。有 10 篇文章被纳入综述。这 10 项研究中有 8 项是在荷兰进行的，1 项在瑞典，1 项在加拿大。本 SLR 的结果表明，有证据表明，针对有医学证明的病假缺勤的工人的 RTW 干预措施可以具有成本效益。
结论 尽管本 SLR 的结果表明 RTW 干预措施的经济评估可能具有成本效益，但在这些项目类型的研究中使用经济评估还处于起步阶段。一些司法管辖区（例如，荷兰）似乎已经认识到经济评估的必要性。然而，在不同的残疾制度背景下还需要更多的研究。此外，如果最终用户是雇主或非卫生组织，使用针对医疗保健干预措施的标准经济评估方法可能会限制结果的有用性。这可能为引入包括与工作相关的效果衡量和分析方法在内的新方法提供机会。
