Cost-utility analysis of a collaborative care intervention for Major Depressive Disorder in an occupational healthcare setting

Autor: Christina M. van der Feltz-Cornelis, Aartjan T.F. Beekman, Johannes R. Anema, M.C. Vlasveld, Robert Hoedeman, Willem van Mechelen, Maartje Goorden, Leona Hakkaart-van Roijen
Přispěvatelé: Tranzo, Scientific center for care and wellbeing, Public and occupational health, Psychiatry, EMGO - Mental health, Health Economics (HE), EMGO+ - Mental Health
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Adult
Male
medicine.medical_specialty
RETURN
Cost-Benefit Analysis
Occupational Health Services
Collaborative Care
Efficiency
Organizational
ECONOMIC-EVALUATION
Occupational safety and health
law.invention
Quality of life (healthcare)
SDG 17 - Partnerships for the Goals
Occupational Therapy
Randomized controlled trial
DESIGN
law
Surveys and Questionnaires
Health care
Humans
Medicine
Cooperative Behavior
Psychiatry
Netherlands
WORK
Depressive Disorder
Major
Cost–utility analysis
Occupational health
business.industry
Depressive disorder
Rehabilitation
Health Care Costs
RANDOMIZED CONTROLLED-TRIAL
medicine.disease
Mental health services
COMMON MENTAL-DISORDERS
Family medicine
Economic evaluation
Quality of Life
Major depressive disorder
Female
Costs and cost analysis
EMPLOYEES
Sick Leave
business
Zdroj: Goorden, M, Vlasveld, M C, Anema, J R, van Mechelen, W, Beekman, A T F, Hoedeman, R, van der Feltz-Cornelis, C & Hakkaart-van Roijen, L 2014, ' Cost-utility analysis of a collaborative care intervention for Major Depressive Disorder in an occupational healthcare setting ', Journal of Occupational Rehabilitation, vol. 24, no. 3, pp. 555-562 . https://doi.org/10.1007/s10926-013-9483-4
Journal of Occupational Rehabilitation, 24(3), 555-562. Springer New York
Journal of Occupational Rehabilitation, 24(3), 555-562. SPRINGER/PLENUM PUBLISHERS
ISSN: 1053-0487
DOI: 10.1007/s10926-013-9483-4
Popis: Purpose Major depression is associated with high levels of absence and reduced productivity. Therefore the costs to society are high. The aim of this study was to evaluate the cost-utility of collaborative care for major depressive disorder (MDD) compared to care as usual in an occupational healthcare setting. A societal perspective was taken. Methods In this randomised controlled trial, 126 sick-listed workers with MDD were included (65 collaborative care, 61 care as usual). Baseline measurements and follow up measures (3, 6, 9 and 12 months) were assessed by questionnaire. We applied the Trimbos/iMTA questionnaire for costs associated with psychiatric illness, the SF-HQL and the EQ-5D respectively measuring the health care utilization, production losses and general health related quality of life. Results The average annual healthcare costs in the collaborative care group were €3,874 (95 % CI €2,778–€5,718) compared to €4,583 (95 % CI €3,108–€6,794) in the care as usual group. The average quality of life years (QALY’s) gained were lower in the collaborative care group, 0.05 QALY. The majority of the ICERS (69 %) indicate that collaborative care is less costly but also less effective than care as usual. Including the productivity costs did not change this result. Conclusions The cost-utility analysis showed that collaborative care generated reduced costs and a reduction in effects compared to care as usual and was therefore not a cost-effective intervention.Keywords: Costs and cost analysis, Occupational health, Depressive disorder, Mental health services, Randomized controlled trial
Databáze: OpenAIRE
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