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A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety
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 des...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999158/ https://www.ncbi.nlm.nih.gov/pubmed/29247271 http://dx.doi.org/10.1007/s10488-017-0842-x |
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author | van Mens, Kasper Lokkerbol, Joran Janssen, Richard van Orden, Mirjam L. Kloos, Margot Tiemens, Bea |
author_facet | van Mens, Kasper Lokkerbol, Joran Janssen, Richard van Orden, Mirjam L. Kloos, Margot Tiemens, Bea |
author_sort | van Mens, Kasper |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5999158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-59991582018-06-28 A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety van Mens, Kasper Lokkerbol, Joran Janssen, Richard van Orden, Mirjam L. Kloos, Margot Tiemens, Bea Adm Policy Ment Health Original Article 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. Springer US 2017-12-15 2018 /pmc/articles/PMC5999158/ /pubmed/29247271 http://dx.doi.org/10.1007/s10488-017-0842-x Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article van Mens, Kasper Lokkerbol, Joran Janssen, Richard van Orden, Mirjam L. Kloos, Margot Tiemens, Bea A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title | A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title_full | A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title_fullStr | A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title_full_unstemmed | A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title_short | A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
title_sort | cost-effectiveness analysis to evaluate a system change in mental healthcare in the netherlands for patients with depression or anxiety |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999158/ https://www.ncbi.nlm.nih.gov/pubmed/29247271 http://dx.doi.org/10.1007/s10488-017-0842-x |
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