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Titre : | Cost-Effectiveness of Supported Employment for Veterans With Spinal Cord Injuries (2014) |
Auteurs : | Patricia L. Sinnott ; Vilija Joyce ; Lisa Ottomanelli |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/7, 2014) |
Article en page(s) : | p. 1254-1261 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analyse coût-bénéfice ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Cost-benefit analysis ; Spinal cord injuries ; Vocational ; Réadaptation professionnelle |
Résumé : |
Objective To estimate the cost-effectiveness of a supported employment (SE) intervention that had been previously found effective in veterans with spinal cord injuries (SCIs). Design Cost-effectiveness analysis, using cost and quality-of-life data gathered in a trial of SE for veterans with SCI. Setting SCI centers in the Veterans Health Administration. Participants Subjects (N=157) who completed a study of SE in 6 SCI centers. Subjects were randomly assigned to the intervention of SE (n=81) or treatment as usual (n=76). Intervention A vocational rehabilitation program of SE for veterans with SCI. Main Outcome Measures Costs and quality-adjusted life years, which were estimated from the Veterans Rand 36-Item Health Survey, extrapolated to Veterans Rand 6 Dimension utilities. Results Average cost for the SE intervention was $1821. In 1 year of follow-up, estimated total costs, including health care utilization and travel expenses, and average quality-adjusted life years were not significantly different between groups, suggesting the Spinal Cord Injury Vocational Integration Program intervention was not cost-effective compared with usual care. Conclusions An intensive program of SE for veterans with SCI, which is more effective in achieving competitive employment, is not cost-effective after 1 year of follow-up. Longer follow-up and a larger study sample will be necessary to determine whether SE yields benefits and is cost-effective in the long run for a population with SCI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314000653 |