A Review of Economic Evaluations of Community Mental Health Care.

Autor: Roberts, Evan, Cumming, Jacqueline, Nelson, Katherine
Předmět:
Zdroj: Medical Care Research & Review; Oct2005, Vol. 62 Issue 5, p503-543, 41p, 3 Charts
Abstrakt: The authors review the methodology and findings of economic evaluations of 42 community mental health care programs reported in the English-language literature between 1979 and 2003. There were three substantial methodological problems in the literature: costs were often not completely specified, the quality of econometric analysis was often low, and most evaluations failed to integrate cost and health outcome information. Well-conducted research shows that care in the community dominates hospital in-patient care, achieving better outcomes at lower or equal cost. It is less clear what types of community programs are most cost-effective. Future research should focus on identifying which types of community care are most cost effective and at what level of intensity they are most effective. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index