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The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany

The network for mental health (NWpG = Netzwerk psychische Gesundheit) is an umbrella association for non-medical community mental health care facilities across Germany which are enabled to provide multi-professional mental health care packages including medical and psychosocial services reimbursed b...

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Autores principales: Mueller-Stierlin, Annabel Sandra, Dinc, Uemmueguelsuem, Herder, Katrin, Walendzik, Julia, Schuetzwohl, Matthias, Becker, Thomas, Kilian, Reinhold
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180080/
https://www.ncbi.nlm.nih.gov/pubmed/35682397
http://dx.doi.org/10.3390/ijerph19116814
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author Mueller-Stierlin, Annabel Sandra
Dinc, Uemmueguelsuem
Herder, Katrin
Walendzik, Julia
Schuetzwohl, Matthias
Becker, Thomas
Kilian, Reinhold
author_facet Mueller-Stierlin, Annabel Sandra
Dinc, Uemmueguelsuem
Herder, Katrin
Walendzik, Julia
Schuetzwohl, Matthias
Becker, Thomas
Kilian, Reinhold
author_sort Mueller-Stierlin, Annabel Sandra
collection PubMed
description The network for mental health (NWpG = Netzwerk psychische Gesundheit) is an umbrella association for non-medical community mental health care facilities across Germany which are enabled to provide multi-professional mental health care packages including medical and psychosocial services reimbursed by German statutory health insurances since 2009. The aim of this study is to analyse the cost-effectiveness of providing NWpG mental health care packages plus treatment as usual (NWpG) to treatment as usual alone (TAU) in Germany. In a prospective, multicenter, controlled trial over 18 months, a total of 511 patients (NWpG = 251; TAU = 260) were observed in five regions, four times at six-month intervals. The EQ-5D-3L and the Client Sociodemographic and Service Receipt Inventory (CSSRI) were used to estimate quality-adjusted life-years and total costs of illness. Propensity score-adjusted cost–utility analysis was applied using the net benefit approach. No significant differences in costs and QALYs between NWpG and TAU groups were identified. The probability of NWpG being cost-effective compared to TAU was estimated below 75% for maximum willingness to pay (MWTP) values between 0 and 125,000 EUR. The additional provision of the NWpG package is not cost-effective compared to TAU alone.
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spelling pubmed-91800802022-06-10 The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany Mueller-Stierlin, Annabel Sandra Dinc, Uemmueguelsuem Herder, Katrin Walendzik, Julia Schuetzwohl, Matthias Becker, Thomas Kilian, Reinhold Int J Environ Res Public Health Article The network for mental health (NWpG = Netzwerk psychische Gesundheit) is an umbrella association for non-medical community mental health care facilities across Germany which are enabled to provide multi-professional mental health care packages including medical and psychosocial services reimbursed by German statutory health insurances since 2009. The aim of this study is to analyse the cost-effectiveness of providing NWpG mental health care packages plus treatment as usual (NWpG) to treatment as usual alone (TAU) in Germany. In a prospective, multicenter, controlled trial over 18 months, a total of 511 patients (NWpG = 251; TAU = 260) were observed in five regions, four times at six-month intervals. The EQ-5D-3L and the Client Sociodemographic and Service Receipt Inventory (CSSRI) were used to estimate quality-adjusted life-years and total costs of illness. Propensity score-adjusted cost–utility analysis was applied using the net benefit approach. No significant differences in costs and QALYs between NWpG and TAU groups were identified. The probability of NWpG being cost-effective compared to TAU was estimated below 75% for maximum willingness to pay (MWTP) values between 0 and 125,000 EUR. The additional provision of the NWpG package is not cost-effective compared to TAU alone. MDPI 2022-06-02 /pmc/articles/PMC9180080/ /pubmed/35682397 http://dx.doi.org/10.3390/ijerph19116814 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mueller-Stierlin, Annabel Sandra
Dinc, Uemmueguelsuem
Herder, Katrin
Walendzik, Julia
Schuetzwohl, Matthias
Becker, Thomas
Kilian, Reinhold
The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title_full The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title_fullStr The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title_full_unstemmed The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title_short The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany
title_sort cost-effectiveness analysis of an integrated mental health care programme in germany
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180080/
https://www.ncbi.nlm.nih.gov/pubmed/35682397
http://dx.doi.org/10.3390/ijerph19116814
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