The Library
Prospective pilot evaluation of the effectiveness and cost-utility of a 'health first' case management service for long-term Incapacity Benefit recipients
Tools
Tools
Tools
Warren, J., Bambra, C., Kasim, A., Garthwaite, K., Mason, James and Booth, M. (2014) Prospective pilot evaluation of the effectiveness and cost-utility of a 'health first' case management service for long-term Incapacity Benefit recipients. Journal of Public Health, 36 (1). pp. 117-25. doi:10.1093/pubmed/fds100 ISSN 1741-3842.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1093/pubmed/fds100
Abstract
Background: In line with the NICE guidance, an NHS-commissioned case management intervention was provided for individuals receiving Incapacity Benefit payments for ≥3 years in the North East of England. The intervention aimed to improve the health of the participants.
Methods: A total of 131 participants receiving the intervention were compared over 9 months with a (non-equivalent) comparison group of 229 receiving Incapacity Benefit payments and usual care. Health was measured using EQ-5D, EQ-VAS, SF-8, HADS and the Nordic Musculoskeletal questionnaire. Socio-demographic and health behaviour data were also collected. Fixed-effects linear models with correlated errors were used to compare health changes between groups over time. A preliminary cost–utility analysis was also conducted.
Results: The comparison group measures of health were stable over time. Starting from comparatively poor initial levels, case-management group generic (EQ5D, EQ-VAS) and mental health (HADS-A, HADS-D and SF8-MCS) measures improved within 6 months to similar levels found in the comparison group. Musculoskeletal (Nordic 2) and health behaviours did not improve. Tentative estimates of cost–utility suggest an intervention cost in the region of £16 700–£23 500 per QALY.
Conclusions: Case management interventions may improve the health of Incapacity Benefit recipients. Further research is required to help confirm these pilot findings.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | Journal of Public Health | ||||
| Publisher: | Oxford University Press | ||||
| ISSN: | 1741-3842 | ||||
| Official Date: | 2014 | ||||
| Dates: |
|
||||
| Volume: | 36 | ||||
| Number: | 1 | ||||
| Page Range: | pp. 117-25 | ||||
| DOI: | 10.1093/pubmed/fds100 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
