TY  - JOUR
PY  - 2014//
TI  - Cost effectiveness of supported employment for veterans with spinal cord injuries
JO  - Archives of physical medicine and rehabilitation
A1  - Sinnott, Patricia L.
A1  - Joyce, Vilija
A1  - Su, Pon
A1  - Ottomanelli, Lisa
A1  - Goetz, Lance L.
A1  - Wagner, Todd H.
SP  - 1254
EP  - 1261
VL  - 95
IS  - 7
N2  - OBJECTIVE: To estimate the cost effectiveness of a supported employment (SE) intervention that had been previously found effective in Veterans with spinal cord injuries (SCI). DESIGN: Cost effectiveness analysis, using cost and quality of life data gathered in a trial of SE for Veterans with SCI. Setting: SCI centers in the Veterans Health Administration. PARTICIPANTS: Subjects (N=157) who completed a study of SE in six SCI centers. Subjects were randomly assigned to the intervention of SE (n=81) or treatment as usual (n=76). INTERVENTION: A vocational rehabilitation program of SE for Veterans with SCI. MAIN OUTCOME MEASURE: Costs and quality-adjusted life years which were estimated from the Veterans Rand 36 Health Survey, extrapolated to VR-6D utilities. RESULTS: Average cost for the SE intervention was $1821. In one year of follow-up, estimated total costs, including health care utilization and travel expenses, and average QALYs were not significantly different between groups, suggesting the SCI-VIP intervention was not cost-effective compared to usual care. CONCLUSION: An intensive program of SE for Veterans with SCI which is more effective in achieving competitive employment is not cost-effective after one year of follow-up. Longer follow-up and a larger study sample will be necessary to determine if SE yields benefits and is cost-effective in the long run for a population with SCI.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2014.01.010
ID  - ref1
ER  -