Division of Cancer Control and Population Sciences, National Cancer Institute.
Department of Anesthesiology and Pain Medicine, School of Medicine, University of California, Davis.
Health Psychol. 2019 Aug;38(8):680-688. doi: 10.1037/hea0000774.
In this report, we offer three examples of how economic data could promote greater adoption of behavioral and psychosocial interventions in clinical settings where primary or specialty medical care is delivered to patients. The examples are collaborative care for depression, chronic pain management, and cognitive-behavioral therapy for insomnia. These interventions illustrate differences in the availability of cost and cost-effectiveness data and in the extent of intervention adoption and integration into routine delivery of medical care. Collaborative care has been widely studied from an economic perspective, with most studies demonstrating its relative cost-effectiveness per quality-adjusted life year (QALY) and some studies demonstrating its potential for cost neutrality or cost savings. The success of collaborative care for depression can be viewed as a model for how to promote greater adoption of other interventions, such as psychological therapies for chronic pain and insomnia. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
在本报告中，我们提供了三个经济数据如何促进将行为和心理社会干预措施更广泛地应用于临床环境的例子，这些临床环境主要或专门为患者提供医疗护理。这三个例子是：抑郁症的协作式护理、慢性疼痛管理和失眠的认知行为疗法。这些干预措施说明了成本和成本效益数据的可用性以及干预措施的采用程度和融入常规医疗服务的程度存在差异。协作式护理已从经济学角度进行了广泛研究，大多数研究表明其每质量调整生命年（QALY）的相对成本效益，一些研究表明其具有成本中性或节省成本的潜力。抑郁症协作式护理的成功可以视为如何促进更广泛地采用其他干预措施的模式，例如慢性疼痛和失眠的心理疗法。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
