全民学校精神健康预防计划的成本效益:在有限收入环境下进行经济建模研究
Ha T Nguyen1, Anh Q Nguyen2, Nga T Nguyen1
1Hanoi University of Public Health, Hanoi, Vietnam.
Applied health economics and health policy
|June 10, 2025
概括
投资快乐之家 (HH) 基于学校的心理健康计划是预防越南抑郁症的成本效益. 扩大HH提高了它的经济价值,与没有干预相比,它提供了显著的好处.
科学领域:
- 全球心理健康全球心理健康
- 卫生经济学 卫生经济学
- 青少年心理学 青少年心理学
背景情况:
- 青少年抑郁症是一个重大的公共卫生挑战,特别是在低收入和中等收入国家.
- 基于学校的心理健康计划为早期干预和预防提供了一个可扩展的平台.
- 有限的证据表明,在资源有限的环境中,这些计划的成本效益有限.
研究的目的:
- 评估快乐之家 (HH) 学校心理健康预防计划的成本效益.
- 在收入有限的环境中为心理健康干预提供投资决策的信息.
- 为了比较HH的经济价值与不同时间的无所作为方法.
主要方法:
- 一个文化适应的,基于证据的弹性干预 (快乐的房子) 在越南的高中实施.
- 马尔科夫模型从社会角度评估了成本效益,使用来自受控试验的数据和本地成本信息.
- 经质量调整的寿命年 (QALYs) 用EQ-5D-5L调查数据和系统审查计算,使用3%的折扣率.
主要成果:
- 快乐之家计划展示了成本效益,增量成本效益比率 (ICER) 从4380万越南令吉到2209万越南令吉每QALY在5年到终身时间内获得.
- 全国范围内的HH扩展显著降低了ICER,从每QALY的2760万越南到1350万越南.
- 敏感性分析证实了有关效应大小,疾病发病率和干预成本的研究结果的可靠性.
结论:
- 基于学校的普遍心理健康计划,如快乐的房子是一个成本效益的投资,在收入有限的环境.
- 扩大HH实施对于最大限度地提高成本效益至关重要,尤其是在青少年抑郁症率上升的情况下.
- 这些发现支持越南和类似环境中增加对学校心理健康预防计划的投资.
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