Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study

OBJECTIVES: There are a limited number of studies about the cost-effectiveness of occupational health and safety (OSH) interventions. Applying the results of a cost-effectiveness study from one country to another is hampered by differences in the organization of healthcare and social security. In or...

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Main Authors: Jos Verbeek, Marjo Pulliainen, Eila Kankaanpää, Simo Taimela
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2010-06-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3070
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author Jos Verbeek
Marjo Pulliainen
Eila Kankaanpää
Simo Taimela
author_facet Jos Verbeek
Marjo Pulliainen
Eila Kankaanpää
Simo Taimela
author_sort Jos Verbeek
collection DOAJ
description OBJECTIVES: There are a limited number of studies about the cost-effectiveness of occupational health and safety (OSH) interventions. Applying the results of a cost-effectiveness study from one country to another is hampered by differences in the organization of healthcare and social security. In order to find out how these problems can be overcome, we transferred the results of a Dutch occupational cost-effectiveness study to the Finnish situation and vice-versa. METHODS: We recalculated incremental cost-effectiveness ratios (ICER) for the target country based on resource use in the original study and the associated costs in the target country. We also allocated the costs to the employer, the employee, and tax-payers. RESULTS: We found that the ICER did not differ very much from those in the original studies. However, the different healthcare funding structure led to a more unfavorable ICER for employers in the Netherlands. Both interventions represented a cost saving for tax-payers and employees. Employers had to invest €10–54 to avert one day of sick leave. CONCLUSIONS: We conclude that results of cost-effectiveness studies can be transferred from one country to another, but many adjustments are needed. An extensive description of the intervention, a detailed list of resource use, allocation of costs to various parties, and detailed knowledge of the healthcare systems in the original studies are necessary to enable calculations.
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spelling doaj.art-ec48ae5e60e5452daf6117f6f4293a222022-12-21T19:56:14ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2010-06-0136430531210.5271/sjweh.30703070Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case studyJos Verbeek0Marjo PulliainenEila KankaanpääSimo TaimelaFinnish Institute of Occupational Health, Knowledge Transfer in Occupational Safety and Health Team, PO Box 301, FI-70101 Kuopio, Finland.OBJECTIVES: There are a limited number of studies about the cost-effectiveness of occupational health and safety (OSH) interventions. Applying the results of a cost-effectiveness study from one country to another is hampered by differences in the organization of healthcare and social security. In order to find out how these problems can be overcome, we transferred the results of a Dutch occupational cost-effectiveness study to the Finnish situation and vice-versa. METHODS: We recalculated incremental cost-effectiveness ratios (ICER) for the target country based on resource use in the original study and the associated costs in the target country. We also allocated the costs to the employer, the employee, and tax-payers. RESULTS: We found that the ICER did not differ very much from those in the original studies. However, the different healthcare funding structure led to a more unfavorable ICER for employers in the Netherlands. Both interventions represented a cost saving for tax-payers and employees. Employers had to invest €10–54 to avert one day of sick leave. CONCLUSIONS: We conclude that results of cost-effectiveness studies can be transferred from one country to another, but many adjustments are needed. An extensive description of the intervention, a detailed list of resource use, allocation of costs to various parties, and detailed knowledge of the healthcare systems in the original studies are necessary to enable calculations. https://www.sjweh.fi/show_abstract.php?abstract_id=3070 healtheconomicsoccupational safety and healthcase studyoshcost-effectiveness studyhealth cost-effectivenesshealth cost-effectiveness study
spellingShingle Jos Verbeek
Marjo Pulliainen
Eila Kankaanpää
Simo Taimela
Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
Scandinavian Journal of Work, Environment & Health
health
economics
occupational safety and health
case study
osh
cost-effectiveness study
health cost-effectiveness
health cost-effectiveness study
title Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
title_full Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
title_fullStr Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
title_full_unstemmed Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
title_short Transferring results of occupational safety and health cost-effectiveness studies from one country to another – a case study
title_sort transferring results of occupational safety and health cost effectiveness studies from one country to another a case study
topic health
economics
occupational safety and health
case study
osh
cost-effectiveness study
health cost-effectiveness
health cost-effectiveness study
url https://www.sjweh.fi/show_abstract.php?abstract_id=3070
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