Abstract
Background: This study aims to report on the design of a model to determine the cost-effectiveness of prevention and treatment of early psychosis (PsyMod) and to estimate ten-year cost-effectiveness and budget impact of interventions targeting individuals with ultra-high risk (UHR) of developing psychosis or with first episode psychosis (FEP). Methods: PsyMod was built in parallel with the development of a new standard of care for treatment of early psychosis in the Netherlands. PsyMod is a state-transition cohort simulation model and considers six health states, namely ultra-high risk of psychosis (UHR), FEP, post-FEP, no-UHR, recovery/remission, and death. Results are expressed as total healthcare costs, QALYs, incremental cost-effectiveness ratio (ICER), and budget impact. Results: PsyMod was used to extrapolate budget impact and cost-effectiveness of cognitive behavioural therapy for preventing FEP for individuals at UHR of psychosis (CBTuhr) compared to care as usual. CBTuhr resulted in a per-patient increase of 0.06 QALYs and a per patient cost reduction of €654 (dominant ICER) with a reduction in 5-year healthcare costs of €1,002,166. Conclusions: PsyMod can be used to examine cost-effectiveness and budget impact of interventions targeting prevention and treatment of FEP and is freely available for academic purposes upon request by the authors.
Original language | English |
---|---|
Pages (from-to) | 269-279 |
Number of pages | 11 |
Journal | Expert Review of Pharmacoeconomics and Outcomes Research |
Volume | 20 |
Issue number | 3 |
Early online date | 20 Jun 2019 |
DOIs | |
Publication status | Published - 3 May 2020 |
Funding
This study was funded by The Netherlands Organisation for Health Research and Development (ZonMw) Mental Healthcare Fellowship, grant ID 636320003. Steef Konings, Joran Lokkerbol and Talitha Feenstra acknowledge an unrestricted grant from Stichting de Friesland for the IMPROVE project. Their work for the current research project contributed to one of the case studies in IMPROVE.
Funders | Funder number |
---|---|
Stichting de Friesland | |
ZonMw | 636320003 |
ZonMw |
Keywords
- budget impact
- cost-effectiveness
- economic evaluation
- health economic modelling
- psychosis
- Schizophrenia