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Economic evaluation of an occupational health care guideline for prevention of weight gain among employees.
Wier, M.F. van, Verweij, L.M., Proper, K.I., Hulshof, C.T.J., Tulder, M.W. van, Mechelen, W. van. Economic evaluation of an occupational health care guideline for prevention of weight gain among employees. Journal of Occupational and Environmental Medicine: 2013, 55(9), p. 1100-1109.
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Objective: To determine the cost-effectiveness and the financial return of a guideline for occupational physicians (OPs), aimed at the prevention of weight gain among employees. Methods: The guideline consisted of a company-environment scan and up to five individual sessions with an OP. Sixteen OPs randomized to the guideline (n = 7) or usual care group (n = 9) recruited 275 and 249 employees. Costs were collected by using 3-monthly retrospective questionnaires. Quality-adjusted life-years gained were determined with 6-monthly administered EuroQol-5D. Waist circumference and body weight were measured at baseline and 18 months. Results: Unfavorable differences were found on waist circumference (+1.6 cm; 95% confidence interval [CI], 0.27 to 2.90) and weight (+1.1 kg; 95% CI, 0.01 to 2.15). Probabilities of cost-effectiveness were consistently less than 55%. Net employer loss was €−158 (95% CI, −2865 to 2672). Conclusions: The occupational health care guideline was not cost-effective and no financial return was shown. (aut.ref.)
Objective: To determine the cost-effectiveness and the financial return of a guideline for occupational physicians (OPs), aimed at the prevention of weight gain among employees. Methods: The guideline consisted of a company-environment scan and up to five individual sessions with an OP. Sixteen OPs randomized to the guideline (n = 7) or usual care group (n = 9) recruited 275 and 249 employees. Costs were collected by using 3-monthly retrospective questionnaires. Quality-adjusted life-years gained were determined with 6-monthly administered EuroQol-5D. Waist circumference and body weight were measured at baseline and 18 months. Results: Unfavorable differences were found on waist circumference (+1.6 cm; 95% confidence interval [CI], 0.27 to 2.90) and weight (+1.1 kg; 95% CI, 0.01 to 2.15). Probabilities of cost-effectiveness were consistently less than 55%. Net employer loss was €−158 (95% CI, −2865 to 2672). Conclusions: The occupational health care guideline was not cost-effective and no financial return was shown. (aut.ref.)