诊所心理社会干预的商业案例:治疗中断和成本的降低潜力
Ad A Kaptein1, Joyce C Harper2, Grada van den Dool3
1Department of Medical Psychology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.
Reproductive biomedicine online
|July 23, 2024
概括
认知行为疗法 (CBT) 和正念干预措施可以通过改善心理结果和增加怀孕率,为接受生育治疗的妇女增加价值. 这些疗法显示出大大节省成本和在生育护理方面的投资回报的潜力.
科学领域:
- 生殖医学 生殖医学
- 心理健康 心理健康
- 卫生经济学 卫生经济学
背景情况:
- 基于价值的医疗保健 (VBHC) 框架对于评估医疗保健干预越来越重要.
- 生育治疗往往会给患者带来很大的心理痛苦.
- 在生育护理中辅助心理治疗的成本效益需要彻底评估.
研究的目的:
- 从VBHC的角度评估认知行为疗法 (CBT) 和正念干预措施对接受生育治疗的妇女的价值.
- 为了比较CBT和正念与没有干预的临床结果和干预成本.
- 确定这些在生育护理中的心理干预措施投资的潜在回报率.
主要方法:
- 使用VBHC方法开发了一个概念验证业务案例.
- 临床结果 (焦虑,抑郁,生活质量,怀孕率) 从13项纳入研究中进行了综合.
- 使用成本计算模型估计了荷兰生育治疗环境中的潜在成本节约.
主要成果:
- 认知行为疗法 (CBT) 与减少焦虑和抑郁,改善生育质量和更高的临床怀孕率 (增加6个百分点) 相关.
- 正念训练显示了心理结果的更大改善和临床怀孕率的大幅增加 (19个百分点).
- 潜在的年度成本节约估计为CBT的120万欧元和正念的1100万欧元,投资回报高 (30.7%的CBT,288%的正念).
结论:
- 认知行为疗法 (CBT) 和正念干预措施在改善治疗结果和降低寻求生育治疗的妇女的成本方面具有潜在价值.
- 特别是正念干预措施显示出投资回报率很高,尽管需要进一步对怀孕率进行高质量的研究.
- 通过CBT或正念整合心理支持可以增强生育护理的价值主张.
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