Cost-Effective Psychotherapy for Personality Disorders in The Netherlands: The Value of Further Research and Active Implementation

Objective: In a budget-constrained health care system, decisions regarding resource allocation towards research and implementation are critical and can be informed by cost-effectiveness analysis. The objective of this study was to assess the societal value of conducting further research to inform reimbursement decisions and implementation of cost-effective psychotherapy for clusters B and C personality disorders (PDs). Methods: Value of information and value of implementation analyses were conducted using previously developed cost-effectiveness models for clusters B and C PDs to evaluate the p... Mehr ...

Verfasser: Soeteman, Djora I.
Busschbach, Jan J. V.
Verheul, Roel
Hoomans, Ties
Kim, Jane J.
Dokumenttyp: Artikel
Erscheinungsdatum: 2011
Reihe/Periodikum: Soeteman , D I , Busschbach , J J V , Verheul , R , Hoomans , T & Kim , J J 2011 , ' Cost-Effective Psychotherapy for Personality Disorders in The Netherlands: The Value of Further Research and Active Implementation ' , Value in Health , vol. 14 , no. 2 , pp. 229-239 . https://doi.org/10.1016/j.jval.2010.10.020
Schlagwörter: Bayesian analysis / Cost-effective psychotherapy / Health care decision making / Value of information / Value of implementation
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27597388
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/b3b4c5c1-5600-4ed7-9037-0c34e56ca191

Objective: In a budget-constrained health care system, decisions regarding resource allocation towards research and implementation are critical and can be informed by cost-effectiveness analysis. The objective of this study was to assess the societal value of conducting further research to inform reimbursement decisions and implementation of cost-effective psychotherapy for clusters B and C personality disorders (PDs). Methods: Value of information and value of implementation analyses were conducted using previously developed cost-effectiveness models for clusters B and C PDs to evaluate the parameters that contribute to most of the decision uncertainty, and to calculate the population expected values of perfect information (pEVPI) and perfect implementation (pEVPIM). Results: The pEVPI was estimated to be (sic)425 million for cluster B PDs and (sic)315 million for cluster C PDs, indicating that gathering additional evidence is expected to be cost-effective. The categories of parameters for which reduction of uncertainty would be most valuable were transition probabilities and health state costs. The pEVPIM was estimated to be (sic)595 million for cluster B PDs and (sic)1,372 million for cluster C PDs, suggesting that investing in implementation of cost-effective psychotherapy is likely to be worthwhile. Conclusions: The societal value of additional research on psychotherapy for clusters B and C PDs is substantial, especially when prioritizing information on transition probabilities and health state costs. Active implementation of cost-effective treatment strategies into clinical practice is likely to improve the efficiency of health care provision in The Netherlands. , International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc.