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Ulf Gerdtham. Photo.

Ulf Gerdtham

Professor

Ulf Gerdtham. Photo.

Cost-effectiveness of supported employment adapted for people with affective disorders

Author

  • Sanjib Saha
  • Ulrika Bejerholm
  • Ulf G. Gerdtham
  • Johan Jarl

Summary, in English

Objective: The individual enabling and support (IES) model was effective in gaining competitive employment for people with affective disorders compared with traditional vocational rehabilitation (TVR) services in a randomized controlled trial in a Swedish setting. The object of this study is to perform a cost-effectiveness analysis of IES comparing to TVR. Methods: We considered the costs of intervention and productivity gain due to increased competitive employment. We estimated quality of life using EuroQol 5 Dimension (EQ-5D) and Manchester Short Assessment of Quality of Life (MANSA) scale. EQ-5D was translated into quality-adjusted life-years (QALY), using the UK, Danish, and Swedish tariffs. We performed the analysis from a societal perspective with a one-year timeframe. Results: The cost of IES was €7247 lower per person per year (2014 prices) compared to TVR. There were no significant differences in QALY improvement within or between groups. However, quality of life measured by the MANSA scale significantly improved over the study period in IES. Limitations: Besides the small sample size, details on the intervention costs for both IES and TVR group were unavailable and had to be obtained from external sources. Conclusions: Implementation of IES for people with affective disorders is most likely cost-saving and is potentially even dominating TVR, although a larger trial is required to establish this.

Department/s

  • Health Economics
  • Mental Health, Activity and Participation
  • Department of Economics
  • Institute of Economic Research
  • EpiHealth: Epidemiology for Health

Publishing year

2018-04-03

Language

English

Pages

236-239

Publication/Series

Nordic Journal of Psychiatry

Volume

72

Issue

3

Document type

Journal article

Publisher

Informa Healthcare

Topic

  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • affective disorders
  • cost-effectiveness analysis
  • Economic evaluation
  • QALY
  • supported employment

Status

Published

Research group

  • Health Economics
  • Mental Health, Activity and Participation

ISBN/ISSN/Other

  • ISSN: 0803-9488