Health-Related Quality of Life and Cost-Utility Analysis of Employees With Musculoskeletal Disorders Receiving Vocational Physiotherapy.

Workplace Health & Safety
Laran Chetty

Abstract

Background: The purpose of this project was to evaluate both health-related quality of life (HRQoL) and cost-utility associated with care for employees with musculoskeletal disorders who received vocational physiotherapy at a North London National Health Service (NHS) Foundation Trust in the United Kingdom. Methods: A pre- and post-physiotherapy EuroQol 5 Dimension (EQ-5D) questionnaire was administered to employees presenting to the vocational physiotherapy service (VPS) with musculoskeletal disorders. The cost-utility analysis of the physiotherapy service was calculated using cost data provided by VPS billing information and benefits measured using Quality-Adjusted Life Years (QALYs). Findings: Overall, there was a significant improvement in the EQ-5D index from baseline to discharge in all HRQoL domains. The visual analog scale (VAS) improved from a mean of 31.5 (SD = 18.3) at baseline to 73.2 (SD = 18.5) at discharge. A cost-utility analysis indicated that the VPS would continue to be cost-effective until the cost per employee increased by 82.5%. Conclusion/Application to Practice: The project supports integration of vocational physiotherapy services into an occupational health department.

References

Aug 15, 2006·Occupational Medicine·Nicola HunterLutgen Terblanche
Oct 19, 2010·Occupational Medicine·K AddleyP McQuillan
Mar 1, 2012·BMC Musculoskeletal Disorders·Ceri J PhillipsJanine Hale
Jul 28, 2012·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Tania Pizzari, Megan Davidson

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