Cost-effectiveness evaluation of compliance therapy for people with psychosis

被引:36
作者
Healey, A
Knapp, M
Astin, J
Beecham, J
Kemp, R
Kirov, G
David, A
机构
[1] Inst Psychiat, Ctr Econ Mental Hlth, London NW3 2QG, England
[2] Univ London Royal Free Hosp, Dept Psychiat, London NW3 2QG, England
[3] Inst Psychiat, Dept Psychol Med, London SE5 8AZ, England
[4] Univ Wales, Coll Med, Dept Psychol Med, Cardiff CS4 4XN, S Glam, Wales
关键词
D O I
10.1192/bjp.172.5.420
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Non-compliance rates with antipsychotic medication can be high. and the personal and societal costs are considerable. A new psychological intervention. compliance therapy seeks to improve compliance and patient outcomes and reduce treatment costs. Method A randomised controlled study examined the cost-effectiveness of compliance therapy compared to nonspecific counselling over 18 months for 74 people with psychosis admitted as inpatients at the Maudsley Hospital. Bivariate and multivariate analyses were conducted to test for differences and to explore inter-patient cost variations. Results Compliance therapy is more effective and is no more expensive. Consequently, compliance therapy is more cost-effective than non-specific counselling at six, 12 and 18 months. Conclusions There are compliance, outcome and cost-effectiveness arguments in favour of compliance therapy in preference to non-specific counselling.
引用
收藏
页码:420 / 424
页数:5
相关论文
共 18 条
[1]  
[Anonymous], 1987, DIAGNOSTIC STAT MANU, V4th
[2]  
[Anonymous], UNIT COSTS HLTH SOCI
[3]   A RATING-SCALE FOR DRUG-INDUCED AKATHISIA [J].
BARNES, TRE .
BRITISH JOURNAL OF PSYCHIATRY, 1989, 154 :672-676
[4]  
Beecham J., 1992, MEASURING MENTAL HLT, V2nd
[5]  
CORRIGAN PW, 1990, HOSP COMMUNITY PSYCH, V41, P1203
[6]   INSIGHT AND PSYCHOSIS [J].
DAVID, AS .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 156 :798-808
[7]   WILL THE NEW ANTIPSYCHOTICS IMPROVE THE TREATMENT OF SCHIZOPHRENIA [J].
HALE, T .
BRITISH MEDICAL JOURNAL, 1993, 307 (6907) :749-750
[8]  
Hayward P, 1995, J MENTAL HLTH, V4, P511, DOI [DOI 10.1080/09638239550037343, 10.1080/09638239550037343]
[9]   A SELF-REPORT SCALE PREDICTIVE OF DRUG COMPLIANCE IN SCHIZOPHRENICS - RELIABILITY AND DISCRIMINATIVE VALIDITY [J].
HOGAN, TP ;
AWAD, AG ;
EASTWOOD, R .
PSYCHOLOGICAL MEDICINE, 1983, 13 (01) :177-183
[10]  
Kemp R, 1996, BRIT MED J, V312, P345