Nord Erik, Dalgard Odd Steffen
Divisjon for psykisk helse, Nasjonalt folkehelseinstitutt, Boks 4404 Nydalen, 0403 Oslo.
Tidsskr Nor Laegeforen. 2006 Feb 23;126(5):586-8.
A course in coping with depression was reported to have documented effects in terms of shortening periods of depression. An economic evaluation of the course was conducted.
The estimate of medical effect derives from a randomized controlled trial in 155 subjects with depression. On average subjects in the intervention group improved 3-4 points more on the Beck Depression Inventory than subjects in the control group. A value estimate is provided for this effect given what is known about the weight that society places on severity of illness and effect of treatment when prioritising among patient groups. The value estimate is compared with the costs of the course.
It is estimated that if 200 people take the course, the improvements in quality of life for all these people taken together may be regarded as equally valuable and worthy of priority as an intervention that provides an extra life year to one person. The cost of giving the course to 200 people is estimated at USD 45,000-60,000. This is within the limits of what society is generally willing to pay in order to gain life years. Because of possible reductions in sick leave, societal net costs may be modest.
据报道，一门应对抑郁症的课程在缩短抑郁周期方面有确切效果。对该课程进行了经济评估。
医学效果评估源自一项针对155名抑郁症患者的随机对照试验。平均而言，干预组受试者在贝克抑郁量表上的得分比对照组受试者高出3 - 4分。根据社会在对患者群体进行优先级排序时对疾病严重程度和治疗效果的重视程度，为这一效果提供了价值估算。将价值估算与课程成本进行比较。
据估计，如果200人参加该课程，所有这些人生活质量的改善加在一起，可能被视为与为一人额外提供一年生命的干预措施具有同等价值且值得优先考虑。为200人提供该课程的成本估计为45,000 - 60,000美元。这在社会为获得生命年通常愿意支付的范围内。由于可能减少病假，社会净成本可能较低。
