Abstract
The economic consequences of an Occupational Work Evaluation designed to identify low risk patients recovering from uncomplicated acute myocardial infarction (AMI) and hasten their return to work was evaluated in a randomized trial. Two hundred one employed, clinically low risk men recovering from AMI were randomized to undergo an intervention (intervention group, 99 patients) consisting of an Occupational Work Evaluation or to receive usual care (usual care group, 102 patients). The time to return to work was reduced from 75 days in usual care patients to 51 days in intervention patients (p less than 0.002). Significant differences were found between groups for medical costs and occupational income during follow-up. Total medical costs per patient were lower in the intervention patients than in the usual care patients in the 6 months after AMI ($2,970 vs $3,472). Occupational income per patient was higher in intervention patients than in the usual care group in the 6 months after AMI ($9,655 vs $7,553). The per capita benefit accounting for medical costs and occupational income was $6,685 for intervention patients and $4,081 for usual care patients. Projected to the greater than 300,000 low risk, employed survivors of AMI annu...Continue Reading
Citations
Mar 1, 1994·Journal of Occupational Rehabilitation·D E Shrey, A Mital
Nov 30, 2011·Journal of Occupational Rehabilitation·F T O'HaganD J Mertens
Mar 1, 1993·Journal of the American College of Cardiology·F J Pashkow
Dec 15, 2005·Heart, Lung & Circulation·Jane P HallA Robert Denniss
May 1, 1997·Journal of Cardiopulmonary Rehabilitation·N B Oldridge
Jul 1, 1997·Journal of Cardiopulmonary Rehabilitation·P A AdesJ R Nestor
Jan 1, 1996·Heart·D R ThompsonA Hopkins
Nov 11, 1999·Quality in Health Care : QHC·J DinnesD Thompson
Feb 5, 1999·Aging : Clinical and Experimental Research·F FattirolliN Marchionni
Jun 23, 2009·Journal of Psychosomatic Research·Elizabeth BroadbentKeith J Petrie
Jul 4, 1998·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·D R Thompson, G S Bowman
Mar 28, 2006·The American Journal of Cardiology·Pramesh KovoorAlan Robert Denniss
Jul 14, 2010·Archives of Cardiovascular Diseases·Karl IsaazClaude Gerenton
Oct 1, 1994·Medical Decision Making : an International Journal of the Society for Medical Decision Making·B J BarrettA S Detsky
Apr 24, 2007·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Rita YuvalBasil S Lewis
Aug 6, 1993·American Journal of Health Promotion : AJHP·K R Pelletier
May 29, 2007·Arthritis and Rheumatism·Wilbert B van den HoutTheodora P M Vliet Vlieland
Sep 30, 2017·Disability and Rehabilitation·Fergal O'Hagan
Dec 23, 2009·American Journal of Physical Medicine & Rehabilitation·Kazuhiro P IzawaSetsu Iijima
May 20, 1998·Pediatric Annals·R RothenbergA L Hillman
Mar 15, 2019·The Cochrane Database of Systematic Reviews·Janice HegewaldAndreas Seidler
Aug 10, 2011·Journal of Cardiopulmonary Rehabilitation and Prevention·Fergal T O'hagan, Scott G Thomas
Nov 27, 1998·British Journal of Nursing : BJN·K Noy