Economic impact of reducing treatment gaps in depression
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/154563 |
Resumo: | Publisher Copyright: © 2023 Elsevier Masson SAS. All rights reserved. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Economic impact of reducing treatment gaps in depressioncostdepressionEconomicstreatment gapsPsychiatry and Mental healthSDG 3 - Good Health and Well-beingPublisher Copyright: © 2023 Elsevier Masson SAS. All rights reserved.Background Major depressive disorder (MDD) is highly prevalent across Europe. While evidence-based treatments exist, many people with MDD have their condition undetected and/or untreated. This study aims to assess the cost-effectiveness of reducing treatment gaps using a modelling approach. Methods A decision tree model covering a 27-month time horizon was used. This followed a care pathway where MDD could be detected or not, and where different forms of treatment could be provided. Expected costs pertaining to Germany, Hungary, Italy, Portugal, Sweden and the UK were calculated and quality-adjusted life years (QALYs) were estimated. The incremental costs per QALY of reducing detect and treatment gaps were estimated. Results The expected costs with a detection gap of 69% and treatment gap of 50% were €1236 in Germany, €476 Hungary, €1413 Italy, €938 Portugal, €2093 Sweden, and €1496 in the UK. The incremental costs per QALY of reducing the detection gap to 50% ranged from €2429 in Hungary to €10,686 in Sweden. The figures for reducing the treatment gap to 25% ranged from €3146 in Hungary to €13,843 in Sweden. Conclusions Reducing detection and treatment gaps, and maintaining current patterns of care, is likely to increase healthcare costs in the short term. However, outcomes are improved and reducing these gaps to 50% and 25% respectively appears to be a cost-effective use of resources.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNMcCrone, PaulYoung, Allan H.Zahn, RolandEberhard, JonasWasserman, DanutaBrambilla, PaoloBalazs, JuditCaldas-De-Almeida, JoseUlrichsen, AndreaBaltzis, SpyridonCarli, VladmirAntunes, AnaSchiena, GiandomenicoQuoidbach, VincianeBoyer, PatriceStrawbridge, Rebecca2023-06-28T22:18:33Z2023-06-132023-06-13T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/154563eng0924-9338PURE: 64790163https://doi.org/10.1192/j.eurpsy.2023.2415info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:36:59Zoai:run.unl.pt:10362/154563Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:55:40.314761Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Economic impact of reducing treatment gaps in depression |
| title |
Economic impact of reducing treatment gaps in depression |
| spellingShingle |
Economic impact of reducing treatment gaps in depression McCrone, Paul cost depression Economics treatment gaps Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| title_short |
Economic impact of reducing treatment gaps in depression |
| title_full |
Economic impact of reducing treatment gaps in depression |
| title_fullStr |
Economic impact of reducing treatment gaps in depression |
| title_full_unstemmed |
Economic impact of reducing treatment gaps in depression |
| title_sort |
Economic impact of reducing treatment gaps in depression |
| author |
McCrone, Paul |
| author_facet |
McCrone, Paul Young, Allan H. Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Balazs, Judit Caldas-De-Almeida, Jose Ulrichsen, Andrea Baltzis, Spyridon Carli, Vladmir Antunes, Ana Schiena, Giandomenico Quoidbach, Vinciane Boyer, Patrice Strawbridge, Rebecca |
| author_role |
author |
| author2 |
Young, Allan H. Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Balazs, Judit Caldas-De-Almeida, Jose Ulrichsen, Andrea Baltzis, Spyridon Carli, Vladmir Antunes, Ana Schiena, Giandomenico Quoidbach, Vinciane Boyer, Patrice Strawbridge, Rebecca |
| author2_role |
author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
McCrone, Paul Young, Allan H. Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Balazs, Judit Caldas-De-Almeida, Jose Ulrichsen, Andrea Baltzis, Spyridon Carli, Vladmir Antunes, Ana Schiena, Giandomenico Quoidbach, Vinciane Boyer, Patrice Strawbridge, Rebecca |
| dc.subject.por.fl_str_mv |
cost depression Economics treatment gaps Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| topic |
cost depression Economics treatment gaps Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| description |
Publisher Copyright: © 2023 Elsevier Masson SAS. All rights reserved. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-06-28T22:18:33Z 2023-06-13 2023-06-13T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/154563 |
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http://hdl.handle.net/10362/154563 |
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eng |
| language |
eng |
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0924-9338 PURE: 64790163 https://doi.org/10.1192/j.eurpsy.2023.2415 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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