Exploratory economic analyses of two primary care mental health projects: implications for sustainability

Med J Aust. 2005 Nov 21;183(S10):S73-6.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Attitude to Health
  • Cognitive Behavioral Therapy
  • Cost-Benefit Analysis
  • Evidence-Based Medicine
  • Family Practice / education
  • Financial Support
  • Humans
  • Internet
  • Mental Health Services / economics*
  • Models, Economic
  • Panic Disorder / therapy
  • Patient Acceptance of Health Care
  • Primary Health Care / economics*
  • Program Evaluation / economics*
  • Psychology
  • Quality-Adjusted Life Years
  • Victoria
  • Workforce