Park A-La, McCrone Paul, Knapp Martin
Personal Social Services Research Unit, London School of Economics and Political Science, London, UK.
Centre for the Economics of Mental and Physical Health, Institute of Psychiatry, King's College London, London, UK.
Early Interv Psychiatry. 2016 Apr;10(2):144-51. doi: 10.1111/eip.12149. Epub 2014 Apr 17.
To explore the economic impacts of early intervention in England on outcomes and costs for people with first-episode psychosis.
Three decision analytical models were constructed to compare treatment by early intervention for first-episode psychosis with standard care in relation to employment, education, homicide and suicide. Data on effectiveness and costs were taken from previous studies and expert opinion. Sensitivity analyses tested the robustness of assumptions.
Our models indicate that early intervention demonstrates savings of £2087 per person over 3 years from improved employment and education outcomes. In addition, the annual costs over 10 years related to homicide after early intervention were £80 lower than for standard care. There were also annual savings of £957 per person for early intervention over 4 years compared to standard care as a result of suicides averted.
Not only can investment in early intervention help reduce some of the long-term costs and consequences of mental disorders to the health-care system. In addition, there are broader economic benefits that strengthen the potential cost savings to society.
探讨英国早期干预对首发精神病患者的治疗效果及成本产生的经济影响。
构建了三个决策分析模型，比较首发精神病早期干预治疗与标准护理在就业、教育、凶杀和自杀方面的差异。有效性和成本数据来自先前的研究及专家意见。敏感性分析检验了假设的稳健性。
我们的模型表明，早期干预因就业和教育成果改善，在3年内每人节省2087英镑。此外，早期干预后10年与凶杀相关的年度成本比标准护理低80英镑。与标准护理相比，早期干预因避免自杀，在4年内每人每年还可节省957英镑。
对早期干预的投资不仅有助于降低精神障碍对医疗保健系统造成的一些长期成本和后果。此外，还有更广泛的经济效益，增强了对社会潜在的成本节约。
