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减少抑郁症治疗差距的经济影响
Paul McCrone1, Allan H Young2,3, Roland Zahn2
1Institute for Lifecourse Development, University of Greenwich, London, UK.
概括
减少未被发现和未经治疗的大型抑郁症 (MDD) 增加了医疗保健成本,但改善了结果. 弥补这些差距是一种成本效益高的资源使用.
科学领域:
- 卫生经济学 卫生经济学
- 心理健康服务研究研究 心理健康服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 重度抑郁症 (MDD) 是欧洲普遍存在的一种精神健康状况.
- 对于MDD,存在显著的检测和治疗差距,导致患者的治疗结果低于最佳.
- 目前对MDD的护理途径往往无法识别或充分治疗受影响的个体.
研究的目的:
- 评估减少重大抑郁症 (MDD) 检测和治疗差距的成本效益.
- 建模与改善MDD护理途径相关的经济影响和健康结果.
- 为决策者提供关于为心理健康服务分配资源的证据.
主要方法:
- 开发了一个决策树模型,时间范围为27个月.
- 该模型模拟了包括MDD检测和各种治疗场景在内的护理途径.
- 来自德国,匈牙利,意大利,葡萄牙,瑞典和英国的成本数据被用于估计成本和质量调整寿命年 (QALYs).
主要成果:
- 在69%的检测差距和50%的治疗差距下,初始成本因国家而异,从476欧元 (匈牙利) 到2093欧元 (瑞典).
- 将检测差距降低到50%的结果是每QALY的增量成本从2429欧元 (匈牙利) 增加到10,686欧元 (瑞典).
- 将治疗差距减少到25%,导致每QALY的增量成本从3146欧元 (匈牙利) 增加到13,843欧元 (瑞典).
结论:
- 虽然缩小MDD检测和治疗差距可能会增加短期医疗保健支出,但它会改善患者的治疗结果.
- 将检测差距降低到50%和治疗差距降低到25%是管理重大抑郁症的成本有效策略.
- 投资减少这些差距是医疗保健资源的有价值使用,以改善人口心理健康.
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