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The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany

Author

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  • Annabel Sandra Mueller-Stierlin

    (Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, 89312 Günzburg, Germany
    Institute of Epidemiology and Medical Biometry, Ulm University, 89075 Ulm, Germany)

  • Uemmueguelsuem Dinc

    (Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, 89312 Günzburg, Germany)

  • Katrin Herder

    (Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, 89312 Günzburg, Germany)

  • Julia Walendzik

    (Schön Klinik MVZ GmbH, 81541 München, Germany)

  • Matthias Schuetzwohl

    (Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, 01307 Dresden, Germany)

  • Thomas Becker

    (Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, 89312 Günzburg, Germany)

  • Reinhold Kilian

    (Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, 89312 Günzburg, Germany)

Abstract

The network for mental health (NWpG = Netzwerk psychische Gesundheit) is an umbrella association for non-medical community mental health care facilities across Germany which are enabled to provide multi-professional mental health care packages including medical and psychosocial services reimbursed by German statutory health insurances since 2009. The aim of this study is to analyse the cost-effectiveness of providing NWpG mental health care packages plus treatment as usual (NWpG) to treatment as usual alone (TAU) in Germany. In a prospective, multicenter, controlled trial over 18 months, a total of 511 patients (NWpG = 251; TAU = 260) were observed in five regions, four times at six-month intervals. The EQ-5D-3L and the Client Sociodemographic and Service Receipt Inventory (CSSRI) were used to estimate quality-adjusted life-years and total costs of illness. Propensity score-adjusted cost–utility analysis was applied using the net benefit approach. No significant differences in costs and QALYs between NWpG and TAU groups were identified. The probability of NWpG being cost-effective compared to TAU was estimated below 75% for maximum willingness to pay (MWTP) values between 0 and 125,000 EUR. The additional provision of the NWpG package is not cost-effective compared to TAU alone.

Suggested Citation

  • Annabel Sandra Mueller-Stierlin & Uemmueguelsuem Dinc & Katrin Herder & Julia Walendzik & Matthias Schuetzwohl & Thomas Becker & Reinhold Kilian, 2022. "The Cost-Effectiveness Analysis of an Integrated Mental Health Care Programme in Germany," IJERPH, MDPI, vol. 19(11), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6814-:d:830515
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    References listed on IDEAS

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