Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

Andrews, G., Issakidis, C., Sanderson, K., Corry, J. and Lapsley, H. (2004) Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders. British Journal of Psychiatry, 184 6: 526-533. doi:10.1192/bjp.184.6.526


Author Andrews, G.
Issakidis, C.
Sanderson, K.
Corry, J.
Lapsley, H.
Title Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders
Journal name British Journal of Psychiatry   Check publisher's open access policy
ISSN 0007-1250
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1192/bjp.184.6.526
Open Access Status Not Open Access
Volume 184
Issue 6
Start page 526
End page 533
Total pages 8
Place of publication London, U.K.
Publisher Royal College of Psychiatrists
Language eng
Subject C1
321204 Mental Health
730307 Health policy evaluation
1701 Psychology
Abstract Background Mental health survey data are now being used proactively to decide how the burden of disease might best be reduced. Aims To study the cost-effectiveness of current and optimal treatments for mental disorders and the proportion of burden avertable by each. Method Data for three affective, four anxiety and two alcohol use disorders and for schizophrenia were compared in terms of cost, burden averted and efficiency of current and optimal treatment. We then calculated the burden unavertable given current knowledge. The unit of health gain was a reduction in the years lived with disability (YLDs). Results Summing across all disorders, current treatment averted 13% of the burden, at an average cost of AUS$30 000 per YLD gained. Optimal treatment at current coverage could avert 20% of the burden, at an average cost of AUS$18 000 per YLD gained. Optimal treatment at optimal coverage could avert 28% of the burden, at AUS$16 000 per YLD gained. Sixty per cent of the burden of mental disorders was deemed to be unavertable. Conclusions The efficiency of treatment varied more than tenfold across disorders. Although coverage of some of the more efficient treatments should be extended, other factors justify continued use of less-efficient treatments for some disorders. Declaration of interest None. Funding detailed in Acknowledgements.
Keyword Psychiatry
Australian National Survey
Health-care
Service Utilization
Schizophrenia
Depression
Well
Comorbidity
Disability
Prevalence
Burden
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 13:10:47 EST