The Economic Analysis of Prevention in Mental Health Programs
The Economic Analysis of Prevention in Mental Health Programs
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DOI：
10.1146/annurev-clinpsy-032210-104601
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发表时间：
2011-01-01
影响因子：
18.4
通讯作者：
Carter, Rob
中科院分区：
文献类型：
--
作者：
Mihalopoulos, Cathrine;Vos, Theo;Carter, Rob
本文介绍了经济学在决定旨在预防精神障碍（带来巨大疾病和经济负担）的项目是否值得利用有限的医疗资源方面发挥的作用。幸运的是，存在针对精神障碍的预防性干预措施。然而，应该为哪些干预措施提供资金是决策者面临的一个共同问题，而经济评估可以提供答案。不幸的是，现有的预防干预措施的经济评估对当地医疗保健环境的适用性有限。澳大利亚开发并使用了一种主要基于经济技术的优先级设定方法——评估成本效益（ACE），以回答有关竞争性干预措施的经济资格的问题。使用这种方法对 11 种针对精神障碍和自杀的预防性干预措施（主要是心理性质的干预措施）进行了评估，其中许多措施符合物有所值的标准。针对预防自杀、成人和儿童抑郁症、儿童焦虑症和早期精神病的干预措施具有特别的价值。
This article introduces the role economics can play in deciding whether programs designed to prevent mental disorders, which carry large disease and economic burdens, are a worthwhile use of limited healthcare resources. Fortunately, preventive interventions for mental disorders exist; however, which interventions should be financed is a common issue facing decision makers, and economic evaluation can provide answers. Unfortunately, existing economic evaluations of preventive interventions have limited applicability to local healthcare contexts. An approach to priority setting largely based on economic techniques-Assessing Cost-Effectiveness (ACE)-has been developed and used in Australia to answer questions regarding the economic credentials of competing interventions. Eleven preventive interventions for mental disorders and suicide, mostly psychological in nature, have been evaluated using this approach, with many meeting the criteria of good value for money. Interventions targeting the prevention of suicide, adult and childhood depression, childhood anxiety, and early psychosis have particular merit.