Exploratory economic analyses of two primary care mental health projects: implications for sustainability
We evaluated an Internet‐based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary‐care Evidence‐based Psychological‐interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions. Economic mode...
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| Veröffentlicht in: | Medical journal of Australia 2005-11, Vol.183 (S10), p.S73-S76 |
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| container_end_page | S76 |
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| container_issue | S10 |
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| container_title | Medical journal of Australia |
| container_volume | 183 |
| creator | Mihalopoulos, Cathrine Shih, Sophy Ting‐Fang Kiropoulos, Litza Blashki, Grant Meadows, Graham Gunn, Jane |
| description | We evaluated an Internet‐based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary‐care Evidence‐based Psychological‐interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions.
Economic modelling suggests that Panic Online is cost‐effective when supported by either GPs or psychologists.
Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost‐effectiveness ratio.
The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers. |
| doi_str_mv | 10.5694/j.1326-5377.2005.tb07184.x |
| format | Article |
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Economic modelling suggests that Panic Online is cost‐effective when supported by either GPs or psychologists.
Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost‐effectiveness ratio.
The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2005.tb07184.x</identifier><identifier>PMID: 16296957</identifier><language>eng</language><publisher>Australia: Australasian Medical Publishing Company Proprietary, Ltd</publisher><subject>Attitude of Health Personnel ; Attitude to Health ; Cognitive Behavioral Therapy ; Collaboration ; Cost analysis ; Cost control ; Cost-Benefit Analysis ; Economics ; Estimates ; Evidence-Based Medicine ; Family Practice - education ; Financial Support ; General medicine ; Health care policy ; Humans ; Internet ; Intervention ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Mental Health Services - economics ; Models, Economic ; Panic attacks ; Panic Disorder - therapy ; Patient Acceptance of Health Care ; Population ; Primary care ; Primary Health Care - economics ; Program Evaluation - economics ; Psychologists ; Psychology ; Quality-Adjusted Life Years ; Software ; Sustainability ; Victoria ; Workforce</subject><ispartof>Medical journal of Australia, 2005-11, Vol.183 (S10), p.S73-S76</ispartof><rights>2005 AMPCo Pty Ltd. All rights reserved</rights><rights>Copyright Australasian Medical Publishing Company Proprietary, Ltd. Nov 21, 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4274-12b3c6c87392187e06c93dbc2584eff62b799d2296d76b5bac444d30c683dcd03</citedby><cites>FETCH-LOGICAL-c4274-12b3c6c87392187e06c93dbc2584eff62b799d2296d76b5bac444d30c683dcd03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2005.tb07184.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2005.tb07184.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16296957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mihalopoulos, Cathrine</creatorcontrib><creatorcontrib>Shih, Sophy Ting‐Fang</creatorcontrib><creatorcontrib>Kiropoulos, Litza</creatorcontrib><creatorcontrib>Blashki, Grant</creatorcontrib><creatorcontrib>Meadows, Graham</creatorcontrib><creatorcontrib>Gunn, Jane</creatorcontrib><title>Exploratory economic analyses of two primary care mental health projects: implications for sustainability</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>We evaluated an Internet‐based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary‐care Evidence‐based Psychological‐interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions.
Economic modelling suggests that Panic Online is cost‐effective when supported by either GPs or psychologists.
Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost‐effectiveness ratio.
The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers.</description><subject>Attitude of Health Personnel</subject><subject>Attitude to Health</subject><subject>Cognitive Behavioral Therapy</subject><subject>Collaboration</subject><subject>Cost analysis</subject><subject>Cost control</subject><subject>Cost-Benefit Analysis</subject><subject>Economics</subject><subject>Estimates</subject><subject>Evidence-Based Medicine</subject><subject>Family Practice - education</subject><subject>Financial Support</subject><subject>General medicine</subject><subject>Health care policy</subject><subject>Humans</subject><subject>Internet</subject><subject>Intervention</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental Health Services - economics</subject><subject>Models, Economic</subject><subject>Panic attacks</subject><subject>Panic Disorder - therapy</subject><subject>Patient Acceptance of Health Care</subject><subject>Population</subject><subject>Primary care</subject><subject>Primary Health Care - economics</subject><subject>Program Evaluation - economics</subject><subject>Psychologists</subject><subject>Psychology</subject><subject>Quality-Adjusted Life Years</subject><subject>Software</subject><subject>Sustainability</subject><subject>Victoria</subject><subject>Workforce</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkctO3DAUhi1EBcPlFZDFgl1SX2I7YTdC3CqqblqJneU4jnDkxEPsiJm3x2EikNh15WOd79z-H4BLjHLGq-Jnl2NKeMaoEDlBiOWxRgKXRb49AKvP1CFYIURYJkj1fAxOQujSFzMijsAx5qTiFRMrYG-3G-dHFf24g0b7wfdWQzUotwsmQN_C-ObhZrS9SoBWo4G9GaJy8MUoF19SyndGx3ANbb9xVqto_RBg60cYphCVHVRtnY27M_CjVS6Y8-U9Bf_ubv_ePGRPf-4fb9ZPmS6IKDJMaqq5LgWtCC6FQVxXtKk1YWVh2paTWlRVQ9L-jeA1q5UuiqKhSPOSNrpB9BRc7fumzV4nE6LsbdDGOTUYPwXJyxJzxGbw8hvY-WlMlwdJKBNEIFIm6HoP6dGHMJpWLlpIjOTshuzkLLmcJZezG3JxQ25T8cUyYap703yVLvInYL0H3qwzu_9oLX__WpOPmL4DyMKcng</recordid><startdate>20051121</startdate><enddate>20051121</enddate><creator>Mihalopoulos, Cathrine</creator><creator>Shih, Sophy Ting‐Fang</creator><creator>Kiropoulos, Litza</creator><creator>Blashki, Grant</creator><creator>Meadows, Graham</creator><creator>Gunn, Jane</creator><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20051121</creationdate><title>Exploratory economic analyses of two primary care mental health projects: implications for sustainability</title><author>Mihalopoulos, Cathrine ; Shih, Sophy Ting‐Fang ; Kiropoulos, Litza ; Blashki, Grant ; Meadows, Graham ; Gunn, Jane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4274-12b3c6c87392187e06c93dbc2584eff62b799d2296d76b5bac444d30c683dcd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Attitude of Health Personnel</topic><topic>Attitude to Health</topic><topic>Cognitive Behavioral Therapy</topic><topic>Collaboration</topic><topic>Cost analysis</topic><topic>Cost control</topic><topic>Cost-Benefit Analysis</topic><topic>Economics</topic><topic>Estimates</topic><topic>Evidence-Based Medicine</topic><topic>Family Practice - education</topic><topic>Financial Support</topic><topic>General medicine</topic><topic>Health care policy</topic><topic>Humans</topic><topic>Internet</topic><topic>Intervention</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental Health Services - economics</topic><topic>Models, Economic</topic><topic>Panic attacks</topic><topic>Panic Disorder - therapy</topic><topic>Patient Acceptance of Health Care</topic><topic>Population</topic><topic>Primary care</topic><topic>Primary Health Care - economics</topic><topic>Program Evaluation - economics</topic><topic>Psychologists</topic><topic>Psychology</topic><topic>Quality-Adjusted Life Years</topic><topic>Software</topic><topic>Sustainability</topic><topic>Victoria</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mihalopoulos, Cathrine</creatorcontrib><creatorcontrib>Shih, Sophy Ting‐Fang</creatorcontrib><creatorcontrib>Kiropoulos, Litza</creatorcontrib><creatorcontrib>Blashki, Grant</creatorcontrib><creatorcontrib>Meadows, Graham</creatorcontrib><creatorcontrib>Gunn, Jane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mihalopoulos, Cathrine</au><au>Shih, Sophy Ting‐Fang</au><au>Kiropoulos, Litza</au><au>Blashki, Grant</au><au>Meadows, Graham</au><au>Gunn, Jane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploratory economic analyses of two primary care mental health projects: implications for sustainability</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2005-11-21</date><risdate>2005</risdate><volume>183</volume><issue>S10</issue><spage>S73</spage><epage>S76</epage><pages>S73-S76</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><abstract>We evaluated an Internet‐based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary‐care Evidence‐based Psychological‐interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions.
Economic modelling suggests that Panic Online is cost‐effective when supported by either GPs or psychologists.
Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost‐effectiveness ratio.
The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers.</abstract><cop>Australia</cop><pub>Australasian Medical Publishing Company Proprietary, Ltd</pub><pmid>16296957</pmid><doi>10.5694/j.1326-5377.2005.tb07184.x</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Attitude of Health Personnel Attitude to Health Cognitive Behavioral Therapy Collaboration Cost analysis Cost control Cost-Benefit Analysis Economics Estimates Evidence-Based Medicine Family Practice - education Financial Support General medicine Health care policy Humans Internet Intervention Mental depression Mental disorders Mental health Mental health care Mental Health Services - economics Models, Economic Panic attacks Panic Disorder - therapy Patient Acceptance of Health Care Population Primary care Primary Health Care - economics Program Evaluation - economics Psychologists Psychology Quality-Adjusted Life Years Software Sustainability Victoria Workforce |
| title | Exploratory economic analyses of two primary care mental health projects: implications for sustainability |
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