Cost-Effectiveness of Psychotherapy for Cluster B Personality Disorders
2010
This article, published in the British Journal of Psychiatry, presents a probabilistic Markov cohort model that compares the cost-effectiveness of three treatment strategies (outpatient, day-hospital and inpatient psychotherapy) for patients with cluster B personality disorders. Patient-level data is used to populate the model and the analyses are conducted from the societal and payer perspectives. From the societal perspective, the findings show that the incremental cost-effectiveness ratio (ICER) of day hospital psychotherapy compared to outpatient psychotherapy was €56,325 per QALY and the ICER of inpatient psychotherapy compared to day hospital psychotherapy is €286,493 per QALY. From the payer perspective, the ICERs were at €43,427 and €561,188 per QALY, respectively.
Based on these results, the study concludes that outpatient and day hospital psychotherapy can be regarded as cost-effective treatment options for patients with cluster B personality disorders. If the burden of disease of these patients is considered in determining the cost-effectiveness threshold, outpatient psychotherapy is the optimal treatment option (threshold at €39,200 per QALY).
Cost-Effectiveness of Psychotherapy for Cluster B Personality Disorders
Source:
Soeteman DI, Verheul R, Delimon J, Meerman AMMA, van den Eijnden E, Rossum BV, Ziegler U, Thunnissen M, Busschbach JJV, Kim JJ. Cost-Effectiveness of Psychotherapy for Cluster B Personality Disorders. British Journal of Psychiatry 2010; 196 (5): 396-403. https://doi.org/10.1192/bjp.bp.109.070482