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Vocational rehabilitation after aquired brain injury: a pilot study on benefits and costs.
Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
2014 (English)In: Open journal of therapy and rehabilitation, no 2, 133-145 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To examine the benefits from a vocational rehabilitation program for patients suffering from Acquired Brain Injury (ABI) in terms of quality of life, and overall health. In addition, to examine the direct societal costs of healthcare interventions related to vocational rehabilitation and indirect societal costs related to production loss. Method: Identified interventions in 45 patients with ABI who were discharged from a vocational rehabilitation program between 2010 and 2011 were documented, classified and translated into costs. Expenses associated with production loss were calculated by comparing sick leave production loss at first contact with the team, with sick leave production loss at discharge. Health related QoL and overall health, was measured at first contact and at discharge by using the EQ5D. Results: For vocational rehabilitation interventions, mean costs were €6303/individual/month. At first contact with the team, mean production loss was estimated to be €4409/individual/month compared; at discharge to be €2446. QoL-ratings increased from first contact to discharge, although estimated health did not change. At discharge, significant correlations were found between QoL ratings and estimated health and the extent of production loss (p < 0.05). Conclusion: Healthcare interventions that help ABI patients resume work are cost effective for society as well as for patients.

Place, publisher, year, edition, pages
2014. no 2, 133-145 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:liu:diva-115759DOI: 10.4236/ojtr.2014.23019OAI: diva2:796333
Available from: 2015-03-18 Created: 2015-03-18 Last updated: 2015-04-02Bibliographically approved

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Samuelsson, Kersti
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Rehabilitation MedicineFaculty of Health SciencesDepartment of Rehabilitation Medicine
Public Health, Global Health, Social Medicine and Epidemiology

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