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A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain.

https://arctichealth.org/en/permalink/ahliterature61395
Source
Pain. 2005 Jun;115(3):273-83
Publication Type
Article
Date
Jun-2005
Author
Jensen IB
Bergström G
Ljungquist T
Bodin L
Author Affiliation
Section for Personal Injury Prevention, Karolinska Institutet, Box 127 18, 112 94 Stockholm, Sweden. irene.jensen@cns.ki.se
Source
Pain. 2005 Jun;115(3):273-83
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Back Pain - economics - rehabilitation
Cognitive Therapy
Comparative Study
Cost-Benefit Analysis
Delivery of Health Care - utilization
Employment
Female
Follow-Up Studies
Health Care Costs
Humans
Male
Middle Aged
Neck Pain - economics - rehabilitation
Pensions
Physical Therapy (Specialty) - economics - organization & administration
Program Evaluation
Quality of Life
Rehabilitation - economics - organization & administration
Research Support, Non-U.S. Gov't
Sick Leave
Abstract
The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.
PubMed ID
15911154 View in PubMed
Less detail

[Rehabilitation as regional policy practice].

https://arctichealth.org/en/permalink/ahliterature204506
Source
Tidsskr Nor Laegeforen. 1998 Aug 20;118(19):2937
Publication Type
Article
Date
Aug-20-1998
Author
P. Gulbrandsen
Source
Tidsskr Nor Laegeforen. 1998 Aug 20;118(19):2937
Date
Aug-20-1998
Language
Norwegian
Publication Type
Article
Keywords
Health Policy
Humans
Norway
Regional Medical Programs - economics
Rehabilitation - economics - organization & administration
Notes
Comment In: Tidsskr Nor Laegeforen. 1998 Oct 10;118(24):38339816958
Comment On: Tidsskr Nor Laegeforen. 1998 Nov 30;118(29):45629889648
PubMed ID
9748828 View in PubMed
Less detail

[Responsibility to arrange treatment and rehabilitation services, financing and accessibility of services from the viewpoint of the Social Insurance Institute].

https://arctichealth.org/en/permalink/ahliterature219595
Source
Duodecim. 1994;110(15):1379-81
Publication Type
Article
Date
1994