Oppiminen osallistumisen prosessina

Artikkeli pohjautuu Etienne Wengerin teokseen Communities of Practice: Learning, Meaning and Identity (Cambridge University Press, 1998)

Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain.

OBJECTIVE: To assess the cost-utility of an exercise programme vs usual care after functional multidisciplinary rehabilitation in patients with chronic low back pain. DESIGN: Cost-utility analysis alongside a randomized controlled trial. SUBJECTS/PATIENTS: A total of 105 patients with chronic low back pain. METHODS: Chronic low back pain patients completing a 3-week functional multidisciplinary rehabilitation were randomized to either a 3-month exercise programme (n = 56) or usual care (n = 49). The exercise programme consisted of 24 training sessions during 12 weeks. At the end of functional multidisciplinary rehabilitation and at 1-year follow-up quality of life was measured with the SF-36 questionnaire, converted into utilities and transformed into quality--adjusted life years. Direct and indirect monthly costs were measured using cost diaries. The incremental cost-effectiveness ratio was calculated as the incremental cost of the exercise programme divided by the difference in quality-adjusted life years between both groups. RESULTS: Quality of life improved significantly at 1-year follow-up in both groups. Similarly, both groups significantly reduced total monthly costs over time. No significant difference was observed between groups. The incremental cost-effectiveness ratio was 79,270 euros. CONCLUSION: Adding an exercise programme after functional multidisciplinary rehabilitation compared with usual care does not offer significant long-term benefits in quality of life and direct and indirect costs.

Den retoriska anpassningen till parlamentarismen. En studie av den konservativa argumentationen kring parlamentarismen i Sverige 1920-1940

Abstract: The rhetoric of parliamentarism: an analysis of the Swedish conservative debate, 1920-1940

Bortom den vackra stilen : Chaiˆm Perelman och Quentin Skinner om politisk retorik

Abstract:The rhetorical approach in political analysis: Chaim Perelman and Quentin Skinner on political rhetoric

Heikot ja vahvat verkostosidokset tiimiorganisaatiossa : esimerkkinä telealan yritysympäristö

Summary: Weak and strong network ties in a team organisation - case study from a telecommunication company

Käytäntöyhteisöistä innovatiivisiin tietoyhteisöihin

Summary: From communities of practise to innovative knowledge communities