Improving the cost-effectiveness of a healthcare system for depressive disorders by implementing telemedicine: a health economic modeling study

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Improving the cost-effectiveness of a healthcare system for depressive disorders by implementing telemedicine: a health economic modeling study. / Lokkerbol, Joran; Adema, Dirk; Cuijpers, Pim et al.
In: The American Journal of Geriatric Psychiatry, Vol. 22, No. 3, 03.2014, p. 253-262.

Research output: Journal contributionsJournal articlesResearchpeer-review

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Lokkerbol J, Adema D, Cuijpers P, Reynolds CF, Schulz R, Weehuizen R et al. Improving the cost-effectiveness of a healthcare system for depressive disorders by implementing telemedicine: a health economic modeling study. The American Journal of Geriatric Psychiatry. 2014 Mar;22(3):253-262. doi: 10.1016/j.jagp.2013.01.058

Bibtex

@article{e23a57ccd2eb420c892f515626dc54eb,
title = "Improving the cost-effectiveness of a healthcare system for depressive disorders by implementing telemedicine: a health economic modeling study",
abstract = "Objectives: Depressive disorders are significant causes of disease burden and are associated with substantial economic costs. It is therefore important to design a healthcare system that can effectively manage depression at sustainable costs. This article computes the benefit-to-cost ratio of the current Dutch healthcare system for depression, and investigates whether offering more online preventive interventions improves the cost-effectiveness overall. Methods: A health economic (Markov) model was used to synthesize clinical and economic evidence and to compute population-level costs and effects of interventions. The model compared a base case scenario without preventive telemedicine and alternative scenarios with preventive telemedicine. The central outcome was the benefit-to-cost ratio, also known as return-on-investment (ROI). Results: In terms of ROI, a healthcare system with preventive telemedicine for depressive disorders offers better value for money than a healthcare system without Internet-based prevention. Overall, the ROI increases from €1.45 ($1.72) in the base case scenario to €1.76 ($2.09) in the alternative scenario in which preventive telemedicine is offered. In a scenario in which the costs of offering preventive telemedicine are balanced by reducing the expenditures for curative interventions, ROI increases to €1.77 ($2.10), while keeping the healthcare budget constant. Conclusions: For a healthcare system for depressive disorders to remain economically sustainable, its cost-benefit ratio needs to be improved. Offering preventive telemedicine at a large scale is likely to introduce such an improvement.",
keywords = "Psychology, Cost-benefit analysis, Depressive disorder, E-health, Health economic modeling, Prevention",
author = "Joran Lokkerbol and Dirk Adema and Pim Cuijpers and Reynolds, {Charles F.} and Richard Schulz and Rifka Weehuizen and Filip Smit",
year = "2014",
month = mar,
doi = "10.1016/j.jagp.2013.01.058",
language = "English",
volume = "22",
pages = "253--262",
journal = "The American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

RIS

TY - JOUR

T1 - Improving the cost-effectiveness of a healthcare system for depressive disorders by implementing telemedicine

T2 - a health economic modeling study

AU - Lokkerbol, Joran

AU - Adema, Dirk

AU - Cuijpers, Pim

AU - Reynolds, Charles F.

AU - Schulz, Richard

AU - Weehuizen, Rifka

AU - Smit, Filip

PY - 2014/3

Y1 - 2014/3

N2 - Objectives: Depressive disorders are significant causes of disease burden and are associated with substantial economic costs. It is therefore important to design a healthcare system that can effectively manage depression at sustainable costs. This article computes the benefit-to-cost ratio of the current Dutch healthcare system for depression, and investigates whether offering more online preventive interventions improves the cost-effectiveness overall. Methods: A health economic (Markov) model was used to synthesize clinical and economic evidence and to compute population-level costs and effects of interventions. The model compared a base case scenario without preventive telemedicine and alternative scenarios with preventive telemedicine. The central outcome was the benefit-to-cost ratio, also known as return-on-investment (ROI). Results: In terms of ROI, a healthcare system with preventive telemedicine for depressive disorders offers better value for money than a healthcare system without Internet-based prevention. Overall, the ROI increases from €1.45 ($1.72) in the base case scenario to €1.76 ($2.09) in the alternative scenario in which preventive telemedicine is offered. In a scenario in which the costs of offering preventive telemedicine are balanced by reducing the expenditures for curative interventions, ROI increases to €1.77 ($2.10), while keeping the healthcare budget constant. Conclusions: For a healthcare system for depressive disorders to remain economically sustainable, its cost-benefit ratio needs to be improved. Offering preventive telemedicine at a large scale is likely to introduce such an improvement.

AB - Objectives: Depressive disorders are significant causes of disease burden and are associated with substantial economic costs. It is therefore important to design a healthcare system that can effectively manage depression at sustainable costs. This article computes the benefit-to-cost ratio of the current Dutch healthcare system for depression, and investigates whether offering more online preventive interventions improves the cost-effectiveness overall. Methods: A health economic (Markov) model was used to synthesize clinical and economic evidence and to compute population-level costs and effects of interventions. The model compared a base case scenario without preventive telemedicine and alternative scenarios with preventive telemedicine. The central outcome was the benefit-to-cost ratio, also known as return-on-investment (ROI). Results: In terms of ROI, a healthcare system with preventive telemedicine for depressive disorders offers better value for money than a healthcare system without Internet-based prevention. Overall, the ROI increases from €1.45 ($1.72) in the base case scenario to €1.76 ($2.09) in the alternative scenario in which preventive telemedicine is offered. In a scenario in which the costs of offering preventive telemedicine are balanced by reducing the expenditures for curative interventions, ROI increases to €1.77 ($2.10), while keeping the healthcare budget constant. Conclusions: For a healthcare system for depressive disorders to remain economically sustainable, its cost-benefit ratio needs to be improved. Offering preventive telemedicine at a large scale is likely to introduce such an improvement.

KW - Psychology

KW - Cost-benefit analysis

KW - Depressive disorder

KW - E-health

KW - Health economic modeling

KW - Prevention

UR - http://www.scopus.com/inward/record.url?scp=84898648296&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/12e8214b-63ca-30f2-9190-eb612ff5e4a3/

U2 - 10.1016/j.jagp.2013.01.058

DO - 10.1016/j.jagp.2013.01.058

M3 - Journal articles

C2 - 23759290

VL - 22

SP - 253

EP - 262

JO - The American Journal of Geriatric Psychiatry

JF - The American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 3

ER -