It is unclear whether the additional benefits of receiving depression treatment from mental health specialists in routine care pays for the additional costs, compared with treatment delivered by general medical providers.
This study examines the difference in lost earnings and the difference in treatment costs experienced by depressed individuals treated in these two sectors.
Representative community residents with depression were recruited and interviewed at baseline and at 6-month and 12-month follow-ups.
Lost earnings were measured by lost workdays multiplied by subjects'wage rates.
Treatment costs were approximated by charges abstracted from provider and insurance records.
After controlling for sociodemographic variables, baseline severity, and baseline comorbidity, the authors found a net mean annual economic savings of $877 associated with depression treatment delivered in the mental health sector compared with the general medical sector.
Sensitivity analyses in alternative scenarios indicated similar savings.
Although it is the trend for primary care providers to provide mental health services, these analyses indicate a net economic savings if depression treatment is provided by mental health specialists, probably as a result of patients'greater functional improvement. (...)
Mots-clés Pascal : Etat dépressif, Traitement, Personnel sanitaire, Santé mentale, Etude comparative, Médecine générale, Analyse coût, Aspect économique, Economie santé, Arkansas, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Treatment, Health staff, Mental health, Comparative study, Internal medicine, Cost analysis, Economic aspect, Health economy, Arkansas, United States, North America, America, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0105409
Code Inist : 002B18H05B. Création : 16/11/1999.