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Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study

BACKGROUND: Assessing the cost effectiveness of training aimed at increasing general practitioners’ (GP) work awareness and patients’ work-related self-efficacy and quality of life. METHODS: A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32...

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Autores principales: de Kock, Cornelis, Noben, Cindy, Lagro-Janssen, Antoine, Lucassen, Peter, Knottnerus, André, de Rijk, Angelique, Nijhuis, Frans, Steenbeek, Romy, Evers, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397438/
https://www.ncbi.nlm.nih.gov/pubmed/30825880
http://dx.doi.org/10.1186/s12875-019-0924-9
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author de Kock, Cornelis
Noben, Cindy
Lagro-Janssen, Antoine
Lucassen, Peter
Knottnerus, André
de Rijk, Angelique
Nijhuis, Frans
Steenbeek, Romy
Evers, Silvia
author_facet de Kock, Cornelis
Noben, Cindy
Lagro-Janssen, Antoine
Lucassen, Peter
Knottnerus, André
de Rijk, Angelique
Nijhuis, Frans
Steenbeek, Romy
Evers, Silvia
author_sort de Kock, Cornelis
collection PubMed
description BACKGROUND: Assessing the cost effectiveness of training aimed at increasing general practitioners’ (GP) work awareness and patients’ work-related self-efficacy and quality of life. METHODS: A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GPs working in an intervention group practice received training and GPs working in a control group practice delivered usual care. The training intervention consisted of lectures and workshops aimed at increasing GPs’ work awareness and more proactive counseling for patients with work-related problems (WRP). Subjects were working age patients with paid work for at least 12 h per week, who visited one of the participating GPs during the study period. As outcome measures we used the Return to Work Self Efficacy scale to assess patients’ work-related self-efficacy and the Euroquol to assess quality of life. We also measured health care costs and productivity costs. With a 4-item questionnaire we asked patients to assess their GPs’ work awareness. Data were collected at baseline, after 6 and 12 months. RESULTS: Data of 280 patients could be analyzed. The patient related outcomes did not improve after GP training. The change in GP work awareness and the overall mean cost difference (of €770) in favor of the intervention group were not significant. CONCLUSIONS: The training intervention presented in this paper was not cost-effective. Training which is further personalized and targeted at high risk groups with respect to WRP, is more likely to be cost effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-019-0924-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-63974382019-03-13 Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study de Kock, Cornelis Noben, Cindy Lagro-Janssen, Antoine Lucassen, Peter Knottnerus, André de Rijk, Angelique Nijhuis, Frans Steenbeek, Romy Evers, Silvia BMC Fam Pract Research Article BACKGROUND: Assessing the cost effectiveness of training aimed at increasing general practitioners’ (GP) work awareness and patients’ work-related self-efficacy and quality of life. METHODS: A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GPs working in an intervention group practice received training and GPs working in a control group practice delivered usual care. The training intervention consisted of lectures and workshops aimed at increasing GPs’ work awareness and more proactive counseling for patients with work-related problems (WRP). Subjects were working age patients with paid work for at least 12 h per week, who visited one of the participating GPs during the study period. As outcome measures we used the Return to Work Self Efficacy scale to assess patients’ work-related self-efficacy and the Euroquol to assess quality of life. We also measured health care costs and productivity costs. With a 4-item questionnaire we asked patients to assess their GPs’ work awareness. Data were collected at baseline, after 6 and 12 months. RESULTS: Data of 280 patients could be analyzed. The patient related outcomes did not improve after GP training. The change in GP work awareness and the overall mean cost difference (of €770) in favor of the intervention group were not significant. CONCLUSIONS: The training intervention presented in this paper was not cost-effective. Training which is further personalized and targeted at high risk groups with respect to WRP, is more likely to be cost effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-019-0924-9) contains supplementary material, which is available to authorized users. BioMed Central 2019-03-02 /pmc/articles/PMC6397438/ /pubmed/30825880 http://dx.doi.org/10.1186/s12875-019-0924-9 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
de Kock, Cornelis
Noben, Cindy
Lagro-Janssen, Antoine
Lucassen, Peter
Knottnerus, André
de Rijk, Angelique
Nijhuis, Frans
Steenbeek, Romy
Evers, Silvia
Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title_full Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title_fullStr Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title_full_unstemmed Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title_short Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study
title_sort affecting patients with work-related problems by educational training of their gps: a cost-effectiveness study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397438/
https://www.ncbi.nlm.nih.gov/pubmed/30825880
http://dx.doi.org/10.1186/s12875-019-0924-9
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