NDLI: The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany

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The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany

Content Provider	MDPI
Author	Mueller-Stierlin, Annabel Sandra Dinc, Uemmueguelsuem Herder, Katrin Walendzik, Julia Schuetzwohl, Matthias Becker, Thomas Kilian, Reinhold
Copyright Year	2022
Description	The network for mental health (NWpG = Netzwerk psychische Gesundheit) is an umbrella association for non-medical community mental health care facilities across Germany which are enabled to provide multi-professional mental health care packages including medical and psychosocial services reimbursed by German statutory health insurances since 2009. The aim of this study is to analyse the cost-effectiveness of providing NWpG mental health care packages plus treatment as usual (NWpG) to treatment as usual alone (TAU) in Germany. In a prospective, multicenter, controlled trial over 18 months, a total of 511 patients (NWpG = 251; TAU = 260) were observed in five regions, four times at six-month intervals. The EQ-5D-3L and the Client Sociodemographic and Service Receipt Inventory (CSSRI) were used to estimate quality-adjusted life-years and total costs of illness. Propensity score-adjusted cost–utility analysis was applied using the net benefit approach. No significant differences in costs and QALYs between NWpG and TAU groups were identified. The probability of NWpG being cost-effective compared to TAU was estimated below 75% for maximum willingness to pay (MWTP) values between 0 and 125,000 EUR. The additional provision of the NWpG package is not cost-effective compared to TAU alone.
Starting Page	6814
e-ISSN	16604601
DOI	10.3390/ijerph19116814
Journal	International Journal of Environmental Research and Public Health
Issue Number	11
Volume Number	19
Language	English
Publisher	MDPI
Publisher Date	2022-06-02
Access Restriction	Open
Subject Keyword	International Journal of Environmental Research and Public Health Health Policy and Services Integrated Care Assertive Community Treatment Mental Illness Cost-effectiveness Health Economics
Content Type	Text
Resource Type	Article

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