Health economics for psychiatric epidemiology

2020 ◽  
pp. 373-388
Author(s):  
Margaret Heslin ◽  
Paul McCrone ◽  
Daniel Chisholm
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Health Economics ◽  
Mental Healthcare ◽  
Psychiatric Epidemiology ◽  
Service Planning ◽  
Economic Evaluations ◽  
Health Service Planning ◽  
Health System Financing ◽  
Healthcare Interventions

This chapter examines the interface between psychiatric epidemiology and health economics, particularly in relation to mental health service planning and evaluation. It describes examples of how economics and epidemiology work together to produce innovative research approaches from basics such as burden of disease and cost-of-illness studies to more complex approaches such as the assessment of mental health system financing and economic evaluation of mental healthcare interventions. It rounds up with a summary of how to conduct economic evaluations, including sections on study design, mode of economic evaluation, and costing perspective.

Health economics for psychiatric epidemiology

2003 ◽  
pp. 357-376
Author(s):  
Daniel Chisholm ◽  
Paul McCrone
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Mental Health Service ◽  
Health Service ◽  
Health Economics ◽  
Service Evaluation ◽  
Psychiatric Epidemiology ◽  
Economic Analyses ◽  
Health Service Evaluation

This chapter examines the interface between psychiatric epidemiology and health economics, particularly in relation to mental health service evaluation. We discuss the issues inherent in conducting an economic evaluation and conclude with a summary of the applications of economic analyses.

scholarly journals Economic evaluations of health care interventions in Oropharyngeal Dysphagia after Stroke: Protocol for a Systematic Review.

2021 ◽  
Author(s):  
Sergio Marin ◽  
Mateu Serra-Prat ◽  
Omar Ortega ◽  
Pere Clavé
Keyword(s):  
Systematic Review ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Oropharyngeal Dysphagia ◽  
Cost Savings ◽  
Economic Evaluations ◽  
Stroke Patients ◽  
Post Stroke ◽  
Healthcare Interventions ◽  
The Cost

Abstract Background and purpose: Oropharyngeal Dysphagia (OD) affects 40-81% of patients after stroke. A recent systematic review on the costs of OD and it’s main complications showed higher acute and long-term costs for those patients who developed OD, malnutrition and pneumonia after stroke. These results suggest that appropriate management of post-stroke OD could lead to reduction of clinical complications and significant cost savings. The purpose of this systematic review is to assess the available literature exploring the efficiency or cost-effectiveness of available healthcare interventions on the appropriate management of OD. Methods: A systematic review on economic evaluations of health care interventions on post-stroke patients with OD following PRISMA recommendations will be performed. MEDLINE, Embase, the National Health Service Economic Evaluation Database and the Cost-Effectiveness Analysis Registry Database will be searched and a subsequent reference check will be done. English and Spanish literature will be included without date restrictions. Studies will be included if they refer to economic evaluations or studies in which cost savings were reported in post-stroke patients suffering OD. Studies will be excluded if they are partial economic evaluation studies, if they refer to esophageal dysphagia, or if OD is caused by causes different from stroke. Evidence will be presented and synthetized with a narrative method and using tables. Quality evaluation will be done using Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Statement. Discussion: The protocol for this systematic review is the first step to assess the cost-effectiveness of the healthcare interventions that have been described as potential treatments for post-stroke OD. This systematic review will summarize the current evidence on the relation between cost and benefits associated with the appropriate management of OD in post-stroke patients. Systematic review registration: PROSPERO CRD42020136245

Economic evaluations in global mental health

2015 ◽  
Author(s):  
Iris Mosweu ◽  
Paul McCrone
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Economic Evaluation ◽  
Global Mental Health ◽  
Scaling Up ◽  
Economic Evaluations ◽  
Access To Services ◽  
Middle Income ◽  
Policy Makers ◽  
All Solutions

This chapter discusses the importance of undertaking economic evaluations in mental health and the subsequent use of the results to inform policy relating to priority setting, resource allocation, or simply scaling up mental health services in low and middle income settings. We present examples o f economic evaluations conducted either alongside clinical trials or using economic models, in LAMIC. We also point out challenges that researchers in these settings may encounter and possible ways of dealing with these, but at the same time acknowledging that economic evaluation does not provide all solutions for issues facing mental health in the developing world. Access to services, affordability, equity, and stigma also need to be given a priority, while economic evaluation first needs to be understood and approved by policy makers, before it can be adopted.

Economic evaluation and costs of telepsychiatry programmes: A systematic review

2020 ◽  
pp. 1357633X2093891 ◽  
Author(s):  
John A Naslund ◽  
Lauren M Mitchell ◽  
Udita Joshi ◽  
Dipal Nagda ◽  
Chunling Lu
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Mental Disorders ◽  
Clinical Care ◽  
Mental Illnesses ◽  
Economic Evaluations ◽  
Schizophrenia Spectrum Disorders ◽  
Post Traumatic Stress

Objective Telepsychiatry involves use of telecommunications technology to deliver psychiatric care and offers promise to reduce costs and increase access to mental health services. This systematic review examined cost reporting of telepsychiatry programmes for mental healthcare. Methods We systematically searched electronic databases for studies reporting costs, including economic evaluations such as cost-effectiveness analyses, or costs of developing telepsychiatry programmes for clinical care of mental disorders. Included studies enrolled participants with mental disorders and involved telepsychiatry for depression, anxiety disorders, serious mental illnesses including schizophrenia spectrum disorders and bipolar disorder, post-traumatic stress disorder, dementia or epilepsy. Results Twenty-six unique studies met inclusion criteria (17,967 participants), with most targeting depression ( n = 7; 27%), general mental disorders and screening ( n = 7; 27%), child mental health ( n = 4; 15%) and geriatric mental health ( n = 4; 15%). Nearly all studies ( n = 25; 96%) compared telepsychiatry programme costs with either standard in-person consultation or usual care, with 15 (60%) reporting that telepsychiatry programmes were less expensive, and 8 (32%) showing telepsychiatry programmes were more expensive. Three studies reported cost-effectiveness analyses, favouring telepsychiatry programmes, but at highly elevated cost-effectiveness thresholds. Few studies reported costs of developing or delivering telepsychiatry programmes. Conclusion Costs of telepsychiatry programmes varied widely, with substantial heterogeneity in how costs were defined and reported. Some programmes cost less than in-person services while others cost more. Therefore, rigorous cost-effectiveness studies following established standards in economic evaluation are needed to inform implementation and sustainability of these programmes in health systems.

scholarly journals Health economics in mental health. 2: Economic evaluation

1997 ◽  
Vol 21 (11) ◽  
pp. 687-691
Author(s):  
Neil Craig ◽  
Cameron Stark
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Economic Evaluation ◽  
Health Economics ◽  
Economic Analysis ◽  
Mental Health Care ◽  
Costs And Benefits ◽  
Key Concepts ◽  
Different Types ◽  
Key Aspects

This paper is the second in a series explaining key concepts and techniques used in health economics in the context of mental health care. The paper describes the different types of economic analysis and the circumstances in which they should be used. It explains key aspects of the methods used in economic evaluation to measure costs and benefits. The purpose of the paper is not to enable clinicians to undertake economic analysis, but to familiarise them with the methods used in economic evaluation and to enable them to assess the rigour and results of published studies.

scholarly journals Economic Evaluations in the Canadian Mental Health System I: Theory behind Economic Evaluation*

1989 ◽  
Vol 34 (7) ◽  
pp. 633-636 ◽  
Author(s):  
Bruce J. Fried ◽  
Catherine Worthington ◽  
Raisa B. Deber
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Health Program ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Cost Utility ◽  
Economic Evaluations ◽  
Utility Analysis ◽  
Mental Health Programs

Economic evaluation is becoming an increasingly important part of the evaluation of health and mental health services. Current models for conducting economic evaluation, including cost-effectiveness analysis, cost-benefit analysis, and cost-utility analysis, have great potential for improving the quality of decision-making and for making mental health programs more effective and efficient. This paper presents the basic economic theory underlying the various forms of economic evaluation and provides general guidelines for developing and conducting an economic analysis of a health program.

Access to records and client held records for people with mental illness

1996 ◽  
Vol 20 (6) ◽  
pp. 338-341 ◽  
Author(s):  
Richard Laugharne ◽  
Anna Stafford
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Service ◽  
Medical Records ◽  
Service Planning ◽  
Routine Practice ◽  
Health Service Planning ◽  
People With Mental Illness

Increasing involvement of users in health service planning has led to a movement towards patients having more information about their care. Some have advocated patients having access to their medical records and this is now a statutory right. There has been concern as to whether this is suitable in mental health. An addition or alternative to access to medical notes is a client held record which might increase the patient's feeling of autonomy while also improving communication and compliance. In studies on access most patients and staff have found this beneficial. Client held records have also been positively received in the few studies reported but more evaluation in routine practice Is needed.

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