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...

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Autores principales: van Mens, Kasper, Lokkerbol, Joran, Janssen, Richard, van Orden, Mirjam L., Kloos, Margot, Tiemens, Bea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Original Article
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.
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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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