Cost-effectiveness of improved primary care treatment of depression in women in Chile

Siskind, Dan, Araya, Ricardo and Kim, Jane (2010) Cost-effectiveness of improved primary care treatment of depression in women in Chile. British Journal of Psychiatry, 197 4: 291-296. doi:10.1192/bjp.bp.109.068957


Author Siskind, Dan
Araya, Ricardo
Kim, Jane
Title Cost-effectiveness of improved primary care treatment of depression in women in Chile
Journal name British Journal of Psychiatry   Check publisher's open access policy
ISSN 0007-1250
0960-5371
1472-1465
Publication date 2010-10-01
Sub-type Article (original research)
DOI 10.1192/bjp.bp.109.068957
Volume 197
Issue 4
Start page 291
End page 296
Total pages 6
Editor Peter Tyrer
Place of publication London, U.K.
Publisher Royal College of Psychiatrists
Collection year 2011
Language eng
Formatted abstract
Background: Low- and middle-income countries lack information on contextualised mental health interventions to aid resource allocation decisions regarding healthcare.

Aims: To undertake a cost-effectiveness analysis of treatments for depression contextualised to Chile.

Methods :Using data from studies in Chile, we developed a computer-based Markov cohort model of depression among Chilean women to evaluate the cost-effectiveness of usual care or improved stepped care.

Results: The incremental cost-effectiveness ratio (ICER) of usual care was I$113 per quality-adjusted life-year (QALY) gained, versus no treatment, whereas stepped care had an ICER of I$468 per QALY versus usual care. This compared favourably with Chile’s per-capita GDP. Results were most sensitive to variation in recurrent episode coverage, marginally sensitive to cost of treatment, and insensitive to changes in health-state utility of depression and rate of recurrence.

Conclusions: Our results suggest that treatments for depression in low- and middle-income countries may be more cost-effective than previously estimated.
Keyword Low-income women
Mental-disorders
Cardiovascular-disease
Treating depression
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
School of Medicine Publications
 
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Created: Sun, 26 Dec 2010, 10:09:39 EST