[Cost-effectiveness in Dutch mental health care: future because of ROM?]
| Autor: | van Agthoven M, van der Kolk A, Knegtering H, Pa, Delespaul, Arends J, Pp, Jeurissen, Pf, Krabbe, Huijsman R, Luijk R, De Beurs E, Hakkaart-Van Roijen L, Richard Bruggeman |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Tijdschrift voor Psychiatrie, 57, 9, pp. 672-9 Europe PubMed Central Tijdschrift voor Psychiatrie, 57, 672-9 |
| ISSN: | 0303-7339 |
| Popis: | Item does not contain fulltext BACKGROUND: The document reporting Dutch mental health care negotiations for 2014 - 2017 calls for a cost decrease based on cost-effectiveness. Thanks to rom, the Dutch mental health care seems well prepared for cost-effectiveness research. AIM: Evaluate how valid cost-effectiveness research should be established in mental health care and the role of rom therein. METHOD: Evaluation of requirements of cost-effectiveness research, trends, and a translation to Dutch mental health care. RESULTS: Valid cost-effectiveness research in mental health care requires the application of a societal perspective, a long time-horizon and an adequate evaluation of quality of life of patients. Healthcare consumption, outcome of care and characterisation of the patient population should be measured systematically and continuously. Currently, rom-data are not suitable to serve as a basis for cost-effectiveness research, although a proper basis is present. Further development of rom could lead to a situation in which mental health care is purchased on the basis of cost-effectiveness. However, cost-effectiveness will only really be improved if quality of care is rewarded, rather than rewarding activities that are not always related to outcome of care. CONCLUSION: Cost-effectiveness research in mental health care should focus on societal costs and benefits, quality of life and a long time-horizon. If developed further, rom has the potential to be a basis for cost-effectiveness research in the future. |
| Databáze: | OpenAIRE |
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