一项成本效益分析，以评估荷兰针对抑郁症或焦虑症患者的精神卫生保健系统变革。
A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety.
作者信息
van Mens Kasper, Lokkerbol Joran, Janssen Richard, van Orden Mirjam L, Kloos Margot, Tiemens Bea
机构信息
Altrecht Mental Health, Utrecht, The Netherlands.
Centre of Economic Evaluation Trimbos Institute (The Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands.
出版信息
Adm Policy Ment Health. 2018 Jul;45(4):530-537. doi: 10.1007/s10488-017-0842-x.
Over the last decade, the Dutch mental healthcare system has been subject to profound policy reforms, in order to achieve affordable, accessible, and high quality care. One of the adjustments was to substitute part of the specialized care for general mental healthcare. Using a quasi-experimental design, we compared the cost-effectiveness of patients in the new setting with comparable patients from specialized mental healthcare in the old setting. Results showed that for this group of patients the average cost of treatment was significantly reduced by, on average, €2132 (p < 0.001), with similar health outcomes as in the old system.
在过去十年中，荷兰的精神卫生保健系统经历了深刻的政策改革，以实现可负担、可及且高质量的护理。其中一项调整是用部分专科护理替代一般精神卫生保健。我们采用准实验设计，将新环境下患者的成本效益与旧环境下专科精神卫生保健中可比患者的成本效益进行了比较。结果显示，对于这组患者，平均治疗成本显著降低，平均降低了2132欧元（p < 0.001），健康结果与旧系统相似。
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