检查心理学家的规范权力作为降低自杀率的成本有效策略
Phillip M Hughes1,2,3, Derek C Phillips4,5, Robert E McGrath4
1Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy.
Professional psychology, research and practice
|August 4, 2023
概括
授予心理学家在六个州的处方权是降低自杀率的成本有效策略. 这一政策具有显著的价值,为每个人提供了大量的节省和改善生活质量.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 心理健康护理 心理健康护理
背景情况:
- 美国有6个州 (NM,LA,IL,IA,ID,CO) 允许合格的心理学家开处方药.
- 之前的研究表明,这些政策与自杀率的降低有关.
- 这些政策对减少自杀的经济影响仍未得到充分研究.
研究的目的:
- 评估心理学家处方权在降低自杀率方面的成本效益.
- 在20年期间量化这一政策的增量净货币收益 (INMB).
- 为了确定各种支付意愿门的成本效益概率.
主要方法:
- 一个20年的马尔科夫模型被用于模拟.
- 采用了社会视角,建模了10万个人的队列.
- 过渡概率和公用事业来源于现有文献;成本通过混合宏观微观方法来确定.
主要成果:
- 20年的INMB估计为每年质量调整寿命年 (QALY) 12.81亿美元.
- 成本效益概率超过50%,支付意愿的门低至每QALY10,000美元.
- 模型灵敏度分析表明,实施成本的影响很小,但对政策的干预效应有很大的灵敏度.
结论:
- 心理学家处方权代表了一种具有成本效益的干预措施,用于降低州级自杀率.
- 该政策显示出强有力的经济理由,特别是在较低的支付意愿门.
- 需要进一步的研究,以更精确和细致地阐明政策的影响.
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