在初级保健中为青少年进行普遍例行抑郁症查的成本效益
Tran T Doan1, David W Hutton2, Davene R Wright3
1Department of Health Systems, Management, and Policy, Colorado School of Public Health, Aurora.
JAMA health forum
|May 2, 2025
概括
青少年普遍每年进行抑郁症查是具有成本效益的,为每获得的质量调整生命年 (QALY) 提供显著的价值. 这种方法通过增加没有抑郁症的日子来改善青少年心理健康结果.
科学领域:
- 青少年健康 青少年健康
- 心理健康经济学 心理健康经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 大型抑郁症每年影响大约20%的美国青少年.
- 在儿科初级保健中推普遍进行抑郁症查,但其成本效益需要评估.
研究的目的:
- 评估初级保健中普遍青少年抑郁症查的成本效益与通常护理的成本效益.
主要方法:
- 一个决策分析模型模拟了12个人口群体中的1000名青少年 (12-22岁).
- 评估查频率 (每年,每两年,一次) 与通常的护理 (每年20%的查) 相比.
- 测量成本,经质量调整的寿命年 (QALYs) 和没有抑郁症的日子.
主要成果:
- 与一次性查相比,普遍的年度查产生了66822美元/QALY的ICER.
- 全球一次性查的ICER为44,483美元/QALY,而通常的护理则为44,483美元/QALY.
- 针对性查对女性和特定的种族/种族群体来说更具成本效益.
结论:
- 全球年度青少年抑郁症查具有成本效益,低于10万美元/QALY门.
- 通过改善治疗准入,降低成本和提高有效性,可以提高成本效益.
- 未来的研究应该探索人口统计学因素,如性别认同和性取向.
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