THREE-YEAR COST ANALYSIS OF FUNCTION-CENTRED VERSUS PAIN-CENTRED INPATIENT REHABILITATION IN PATIENTS WITH CHRONIC NON-SPECIFIC LOW BACK PAIN

被引：14

作者：

Bachmann, Stefan ^{[1
,2
,3
]}

Wieser, Simon ^{[5
]}

Oesch, Peter ^{[1
]}

Schmidhauser, Sara ^{[5
]}

Knuesel, Otto ^{[1
]}

Kool, Jan ^{[1
,4
]}

机构：

[1] Rehabil Ctr, Dept Rheumatol, Valens, Switzerland

[2] Spital Netz Bern Ziegler, Univ Dept Geriatr, Bern, Switzerland

[3] Univ Hosp Bern, Inselspital, CH-3010 Bern, Switzerland

[4] Zurich Univ Appl Sci, Dept Hlth, Sch Physiotherapy, Winterthur, Switzerland

[5] Zurich Univ Appl Sci, Sch Management & Law, Winterthur Inst Hlth Econ, Winterthur, Switzerland

来源：

JOURNAL OF REHABILITATION MEDICINE | 2009年 / 41卷 / 11期

基金：

瑞士国家科学基金会;

关键词：

low back pain; exercise therapy; vocational rehabilitation; rehabilitation outcome; costs; cost analysis; ECONOMIC BURDEN; SICK-LEAVE; WORK; ILLNESS; PROGRAM; TRIALS; CARE;

D O I：

10.2340/16501977-0449

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

Objective: To compare costs of function and inpatient treatment in patients with chronic low back over 3 years of follow-tip. Design: Cost analysis of randomized controlled trial. Patients: A total of 174 patients with chronic low back pain,were randomized to function- or pain-centred inpatient treatment. Methods: Data on direct and indirect costs were gathered questionnaires sent to patients, health insurance employers, and the Swiss Disability Insurance Company. Results: There was I non-significant difference in total medical costs after 3 years' follow-up. Total costs were 77,305 Euros in the function-centred inpatient treatment group and 83,085 Euros in the pain-centred inpatient treatment group. Likewise, indirect costs after 3 years front lost work days were non-significantly lower in the function-centred inpatient treatment group (6354 Euros; 95%) confidence interval -20,892, 8392) and direct medical cost; were non-significantly higher in the function-centred inpatient treatment group (574 Euros, 95% confidence interval -862, 2011). Conclusion: The total costs of function-centred and pain-centred inpatient treatment were similar over the whole 3-year follow-up.

引用

页码：919 / 923

页数：5

共 18 条

[1]

Rehabilitation costs and subsequent costs in patients with chronic low back pain -: A cost of illness analysis of the functional restoration program of the clinic of rheumatology and rehabilitation of the locomotor system, rehabilitation center clinic Valens, Switzerland [J].