与常规护理相比,强化家庭治疗的经济评估,以及随机对照试验
Ansam Barakat1,2, Jurgen E Cornelis3,4, Jack J M Dekker3,5
1Department of Psychiatry Amsterdam UMC/VUmc, Amsterdam Public Health Research Institute Amsterdam UMC, Amsterdam, The Netherlands. a.barakat1@amsterdamumc.nl.
概括
强化家庭治疗 (IHT) 的成本效益和成本效益略高于精神病危机的标准护理. 虽然差异很小,但从医疗保健的角度来看,IHT具有更高的成本效益.
科学领域:
- 卫生经济学 卫生经济学
- 精神病学护理 精神病学护理
- 临床试验 临床试验
背景情况:
- 有限的研究存在于密集家庭治疗 (IHT) 的成本效益,作为精神病医院住院的替代品.
- 这项研究评估了IHT与精神病危机患者的常规护理 (CAU) 相比IHT对健康的经济影响.
研究的目的:
- 进行对强化家庭治疗 (IHT) 与常规护理 (CAU) 的健康经济评估.
- 评估IHT对精神病患者的成本效益和成本效益.
主要方法:
- 一个预先随机对照试验,使用双重同意的开放标签Zelen设计.
- 成本效益分析使用了EuroQol五维仪器 (EQ-5D).
- 使用简要精神病学评分表 (BPRS) 来衡量成本效益.
主要成果:
- 通过IHT获得的每个额外QALY的成本为48,003欧元,IHT在较低成本下获得更多QALY的可能性为38%.
- 通过IHT在BPRS上改进1个点的成本为19,203欧元,38%的可能性是以更低的成本改进更大的BPRS.
- 从社会角度来看,IHT在NICE值的成本效益概率为55-60%,从医疗保健角度来看为75%.
结论:
- 强化家庭治疗 (IHT) 略高于通常照顾 (CAU) 的成本效益和成本效益.
- 成本和影响的差异很小,特别是从社会角度来看.
- 从医疗保健行业的角度来看,IHT具有更高的成本效益的可能性.
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