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Trial-based economic evaluations in occupational health: Principles, methods, and recommendations

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Author: Dongen, J.M. van · Wier, M.F. van · Tompa, E. · Bongers, P.M. · Beek, A.J. van der · Tulder, M.W. van · Bosmans, J.E.
Source:Journal of Occupational and Environmental Medicine, 6, 56, 563-572
Identifier: 507150
doi: doi:10.1097/JOM.0000000000000165
Keywords: Workplace · Workman compensation · Occupational health · Health care cost · Health economics · Construction worker · Cost effectiveness analysis · Work and Employment · Healthy Living · Healthy Living · WE - Work & Employment · Themalijn


To allocate available resources as efficiently as possible, decision makers need information on the relative economic merits of occupational health and safety (OHS) interventions. Economic evaluations can provide this information by comparing the costs and consequences of alternatives. Nevertheless, only a few of the studies that consider the effectiveness of OHS interventions take the extra step of considering their resource implications. Moreover, the methodological quality of those that do is generally poor. Therefore, this study aims to help occupational health researchers conduct high-quality trial-based economic evaluations by discussing the theory and methodology that underlie them, and by providing recommendations for good practice regarding their design, analysis, and reporting. This study also helps consumers of this literature with understanding and critically appraising trial-based economic evaluations of OHS interventions. Copyright © 2014 by American College of Occupational and Environmental Medicine.