经济评估与对健康成年人基于正念认知治疗的随机对照试验一起进行
Maki Nagaoka1,2, Akihiro Koreki1,2,3, Teppei Kosugi4
1Department of Neuropsychiatry, Keio University School of Medicine, Shinjuku-ku, Japan.
基于正念的认知疗法 (MBCT) 对医疗保健系统具有成本效益,对雇主有利. 这次经济评估使用了健康参与者的成本效益和成本效益分析.
科学领域:
- 卫生经济学 卫生经济学
- 心理健康干预 心理健康干预
- 认知行为疗法是认知行为疗法.
背景情况:
- 基于正念的认知疗法 (MBCT) 是对各种心理健康状况的公认干预措施.
- 经济评估对于理解医疗保健干预措施的价值至关重要.
研究的目的:
- 在健康参与者中对MBCT进行经济评估.
- 从医疗保健的角度进行成本效益分析 (CUA).
- 从雇主的角度进行成本效益分析 (CBA).
主要方法:
- 一个随机对照试验,50名健康参与者 (25名MBCT,25名对照).
- CUA测量了增量成本和经质量调整的寿命年 (QALY).
- CBA测量了生产率变化和净货币收益,使用不确定性引导.
主要成果:
- 对于MBCT,增量成本效益比 (ICER) 为每QALY1.799.435日元 (17.252美元).
- 在QALY每年3万英的值下,MBCT的成本效益概率为92.2%.
- 由于提高了生产率,CBA表示净货币收益为106,460日元 (1021美元).
结论:
- 从医疗保健部门的角度来看,MBCT似乎是一个具有成本效益的干预措施.
- 通过提高生产率,MBCT向雇主展示了成本效益.
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