群体迷幻疗法:经验估计的成本节省和改进的访问
Elliot Marseille1, Christopher S Stauffer2, Manish Agrawal3
1School of Public Health, University of California, Berkeley, Berkeley, CA, United States.
Frontiers in psychiatry
|December 21, 2023
概括
群体治疗显著降低了心理治疗的成本和临床医生的时间,例如MDMA治疗PTSD和psilocybin治疗MDD. 这种方法可以改善患者获得这些新疗法的机会.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 卫生经济学 卫生经济学
背景情况:
- 迷幻药辅助疗法在治疗诸如创伤后应激障碍 (PTSD) 和严重抑郁障碍 (MDD) 等心理健康状况方面表现有前途.
- 扩大这些新型治疗方法面临与临床医生的可用性和成本相关的挑战.
研究的目的:
- 为了比较临床医生的时间,成本和患者获取影响,小组与个人心理辅助疗法.
- 预测潜在的成本节约和临床医生资源需求,以便广泛采用小组治疗模式.
主要方法:
- 利用了来自MDMA辅助治疗PTSD和psilocybin辅助治疗MDD的试验场所的2023年数据.
- 组与个人治疗方案的变量和临床医生成本和时间的比较.
- 符合条件的患者的估计患病率和预计的国家成本和时间节省.
主要成果:
- 群体治疗带来了显著的成本节约:MDMA-PTSD的50.9% (3467美元/患者) 和psilocybin-MDD的34.7% (981美元/患者).
- 广泛采用可能会减少临床医生对MDMA-PTSD的6,711个FTE和1,159个Psilocybin-MDD的FTE需求.
- 估计在10年内,MDMA-PTSD可能节省高达103亿美元,而psilocybin-MDD可能节省20亿美元.
结论:
- 实施群体治疗模式可以大大降低迷幻药辅助疗法的成本.
- 每位临床医生增加的患者容量可以减轻预期的受过培训的专业人员短缺.
- 群体治疗增强了可扩展性,并加速了患者获得有前途的迷幻治疗的机会.
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