The cost effectiveness of NHS physiotherapy support for occupational health (OH) services.

BMC Musculoskeletal Disorders
Ceri J PhillipsJanine Hale

Abstract

Musculoskeletal pain is detrimental to quality of life (QOL) and disruptive to activities of daily living. It also places a major economic burden on healthcare systems and wider society. In 2006, the Welsh Assembly Government (WAG) established a three tiered self-referral Occupational Health Physiotherapy Pilot Project (OHPPP) comprising: 1.) telephone advice and triage, 2.) face-to-face physiotherapy assessment and treatment if required, and 3.) workplace assessment and a return-to-work facilitation package as appropriate. This study aimed to evaluate the feasibility and cost-effectiveness of the pilot service. A pragmatic cohort study was undertaken, with all OHPPP service users between September 2008 and February 2009 being invited to participate. Participants were assessed on clinical status, yellow flags, sickness absence and work performance at baseline, after treatment and at 3 month follow up. Cost-effectiveness was evaluated from both top-down and bottom-up perspectives and cost per Quality Adjusted Life Year (cost/QALY) was calculated. The cost-effectiveness analysis assessed the increase in service cost that would be necessary before the cost-effectiveness of the service was compromised. A total of 515 patients compl...Continue Reading

References

Dec 22, 1999·Pain·Nikolaos Maniadakis, Alastair Gray
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Sep 14, 2000·Journal of Behavioral Medicine·A OsmanL Grittmann
Jan 13, 2001·BMJ : British Medical Journal·P M Bongers
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Nov 13, 2003·JAMA : the Journal of the American Medical Association·Walter F StewartRichard Lipton
Jun 29, 2004·Archives of Physical Medicine and Rehabilitation·Randolph L RoigDavid X Cifu
Sep 16, 2005·Scandinavian Journal of Work, Environment & Health·Patrick Loisel
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Apr 17, 2009·The Cochrane Database of Systematic Reviews·Sandra H van OostromJohannes R Anema
Sep 18, 2009·Occupational Medicine·Gwenllian Wynne-JonesChris J Main

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Citations

Jul 15, 2015·Journal of Physical Therapy Science·Vânia Tie Koga FerreiraAna Maria de Almeida
Jul 6, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Doug CoyleGerald A Evans
Jan 18, 2019·Chiropractic & Manual Therapies·Mette Jensen StochkendahlCorrie Myburgh
Apr 3, 2019·Applied Health Economics and Health Policy·Cheryl JonesKatherine Payne
Jun 4, 2020·Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao·Laran Chetty
Jul 16, 2020·Journal of Occupational Rehabilitation·Michael DonovanVenerina Johnston

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