Back to Search
Start Over
Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems
- Source :
- Bosmans, J E, Schreuders, B, van Marwijk, H W J, Smit, J H, van Oppen, P & van Tulder, M W 2012, ' Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems ', BMC Family Practice, vol. 13, no. 1 . https://doi.org/10.1186/1471-2296-13-98
- Publication Year :
- 2012
-
Abstract
- BACKGROUND: Mental health problems are common and are associated with increased disability and health care costs. Problem-Solving Treatment (PST) delivered to these patients by nurses in primary care might be efficient. The aim of this study was to evaluate the cost-effectiveness of PST by mental health nurses compared with usual care (UC) by the general practitioner for primary care patients with mental health problems.METHODS: An economic evaluation from a societal perspective was performed alongside a randomized clinical trial. Patients with a positive General Health Questionnaire score (score ≥ 4) and who visited their general practitioner at least three times during the past 6 months were eligible. Outcome measures were improvement on the Hospital Anxiety and Depression Scale and QALYs based on the EQ-5D. Resource use was measured using a validated questionnaire. Missing cost and effect data were imputed using multiple imputation techniques. Bootstrapping was used to analyze costs and cost-effectiveness of PST compared with UC.RESULTS: There were no statistically significant differences in clinical outcomes at 9 months. Mean total costs were €4795 in the PST group and €6857 in the UC group. Costs were not statistically significantly different between the two groups (95% CI -4698;359). The cost-effectiveness analysis showed that PST was cost-effective in comparison with UC. Sensitivity analyses confirmed these findings.CONCLUSIONS: PST delivered by nurses seems cost-effective in comparison with UC. However, these results should be interpreted with caution, since the difference in total costs was mainly caused by 3 outliers with extremely high indirect costs in the UC group.TRIAL REGISTRATION: Nederlands Trial Register ISRCTN51021015.
- Subjects :
- Adult
Male
Practice Patterns, Nurses'
Primary Health Care
Depression
Cost-Benefit Analysis
Research Support, Non-U.S. Gov't
Health Care Costs
Middle Aged
Randomized Controlled Trial
Journal Article
Humans
Psychotherapy, Brief
Female
Quality-Adjusted Life Years
health care economics and organizations
Problem Solving
Aged
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Bosmans, J E, Schreuders, B, van Marwijk, H W J, Smit, J H, van Oppen, P & van Tulder, M W 2012, ' Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems ', BMC Family Practice, vol. 13, no. 1 . https://doi.org/10.1186/1471-2296-13-98
- Accession number :
- edsair.pure.au.......29be8d936fe9f8fe6a40f44f2e8b887b