A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety |
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| Authors: | Kasper van Mens Joran Lokkerbol Richard Janssen Mirjam L. van Orden Margot Kloos Bea Tiemens |
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| Affiliation: | 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;5.Erasmus University Rotterdam,Rotterdam,The Netherlands;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 |
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| 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, €2132 (p?
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