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Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study.
- Source :
- BMC Family Practice; 3/2/2019, Vol. 20 Issue 1, pN.PAG-N.PAG, 1p, 2 Diagrams, 3 Charts
- Publication Year :
- 2019
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- GENERAL practitioners
LABOR productivity
COST effectiveness
COUNSELING
EMPLOYMENT reentry
GROUP medical practice
INDUSTRIAL hygiene
LECTURE method in teaching
MEDICAL care costs
PHYSICIAN-patient relations
PROFESSIONS
QUALITY of life
QUESTIONNAIRES
RISK assessment
SELF-efficacy
ADULT education workshops
RANDOMIZED controlled trials
PATIENTS' attitudes
EDUCATION
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 14712296
- Volume :
- 20
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Family Practice
- Publication Type :
- Academic Journal
- Accession number :
- 135036842
- Full Text :
- https://doi.org/10.1186/s12875-019-0924-9