Cost-effectiveness of different clinical interventions for reducing the burden of schizophrenia in Spain

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Abstract:

Gutierrez-Recacha P, Chisholm D, Haro JM, Salvador-Carulla L, Ayuso-Mateos JL. Cost-effectiveness of different clinical interventions for reducing the burden of schizophrenia in spain. Objective: 

To estimate the cost-effectiveness of interventions for reducing the burden of schizophrenia in Spain. Method: 

The study examined the cost-effectiveness of seven different types of clinical interventions at the level of Spanish population: i) current situation; ii) older antipsychotics alone; iii) new antipsychotics alone (risperidone); iv) older antipsychotics plus psychosocial treatment; v) new antipsychotics plus psychosocial treatment; vi) older antipsychotics plus case management and psychosocial treatment; vii) new antipsychotics plus case management and psychosocial treatment. Results: 

Interventions based on the combination of haloperidol with psychosocial treatment or psychosocial treatment plus case management proved to be the most efficient strategies. Conclusion: 

The relatively modest additional cost of concurrent psychosocial treatment has significant health gains, thereby making such a combined strategy for schizophrenia more cost-effective than pharmacology alone.

Keywords: Spain; cost of illness; cost–benefit analysis; epidemiology; schizophrenia

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0447.2006.00917.x

Affiliations: 1: Department of Psychiatry, Hospital Universitario de la Princesa, Autónoma University, Madrid, Spain 2: Department of Health System Financing, and Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland 3: Fundaciò Sant Joan de Déu; Sant Joan de Deu-SSM; Sant Boi de Llobregat, Barcelona 4: Department of Psychiatry, University of Cadiz, Cadiz, Spain

Publication date: December 1, 2006

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