Professional Documents
Culture Documents
eu
High incidence and prevalence Chronic course High use of Health System resources High impact in quality of life: Pain and Disability
http://www.phac-aspc.gc.ca/ph-sp/preveco-01-eng.php#fig1 Adapted from IHE, 2008; data from the Public Health Agency of Canada
Temporary Work Disability Subsidies an Other Economic Benefits of Social Security 10.000.000.000 euros
Administrative Process
Social Security Institute - Compensation - Laws - Control - Fraud - Inspection
TWD
What if?
PWD
100
50% reduction of PWD (cases) Increased patient satisfaction Positive Economic evaluation Decreased and indirect costs Control direct Intervention Benefit/cost at two years: 11 euros Extension of the Program (1998-2004)
25
50
75
0 0
30
60
90
Days
Scientific Publications
Diagnostic concordance between primary care physicians and rheumatologists in patients with work disability related to musculoskeletal disorders. Candelas G, Absolo L, Len L, Lajas C, Loza E, Revenga M, Bachiller J, Collado P, Richi P, Blanco M, Jover JA.
National Rheumatic and Musculoskeletal Diseases Strategy TWD Early Intervention Programs
Primary Care
NHS Inspection Services
Efficacy 32%
Efficacy 27%
TWD
Access
Health Results
Very early
Decreased TWD-PWD
Collation and analysis of data and activity from wider Spanish Early Intervention Programme
Expert assessment:
Confirm diagnosis Confirm appropriate management Simple intervention for 90% of patients referred Patient education and engagement Early discharge to return to work
Severity
Time Interventions
Emery P. Ann Rheum Dis. 1995;54:944
Early Intervention: UK
Introduction
Project to demonstrate early intervention reduces work disability in musculoskeletal patients demonstrate early intervention improves patient outcomes and increases patient satisfaction deliver unique UK data on early intervention and work disability to drive a cost-effectiveness model
deliver a model for treating high volume musculoskeletal problems and associated work disability
Control Group=750
Level 3
Diagnostics Onward Specialist Referral
Transformational Lead for 3 CCGs in Leeds Dr Chris Mills Clinical Lead: Dr Steve Brennan Academic Lead: Professor Paul Emery Project Lead: Rhonda Siddall
Project Phases
Phase IV: Producing the service enhancement model template + communicating the results
Process:
- Data Capture: Integrated System 1 - Interrogation and Analysis: done by Leeds Community Healthcare Trust and Dr Steve Brennan
Outcomes Assessed:
Impact on temporary work disability (TD) Impact on permanent work disability (PD) Patient Satisfaction Impact on onward referral and investigation costs
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