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Adm Policy Ment Health. 2018 Jul;45(4):530-537. doi: 10.1007/s10488-017-0842-x.

A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety.

Author information

1
Altrecht Mental Health, Utrecht, The Netherlands.
2
Centre of Economic Evaluation Trimbos Institute (The Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands.
3
Rob Giel Research Centre, University Medical Centre Groningen, Groningen, The Netherlands.
4
Tilburg University, Tilburg, The Netherlands. R.T.J.M.Janssen@uvt.nl.
5
Erasmus University Rotterdam, Rotterdam, The Netherlands. R.T.J.M.Janssen@uvt.nl.
6
Parnassia Groep, Parnassia Academie, The Hague, The Netherlands.
7
Pro Persona Research, Pro Persona, Wolfheze, The Netherlands.
8
Indigo Service Organization, Utrecht, The Netherlands.
9
Radboud University, Nijmegen, The Netherlands.

Abstract

Over the last decade, the Dutch mental healthcare system has been subject to profound policy reforms, in order to achieve affordable, accessible, and high quality care. One of the adjustments was to substitute part of the specialized care for general mental healthcare. Using a quasi-experimental design, we compared the cost-effectiveness of patients in the new setting with comparable patients from specialized mental healthcare in the old setting. Results showed that for this group of patients the average cost of treatment was significantly reduced by, on average, ā‚¬2132 (pā€‰<ā€‰0.001), with similar health outcomes as in the old system.

KEYWORDS:

Anxiety; Cost-effectiveness; Depression

PMID:
29247271
PMCID:
PMC5999158
DOI:
10.1007/s10488-017-0842-x
[Indexed for MEDLINE]
Free PMC Article

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