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The cost-effectiveness of PHQ screening and collaborative care for depression in New York City

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  • Boshen Jiao
  • Zohn Rosen
  • Martine Bellanger
  • Gary Belkin
  • Peter Muennig

Abstract

Background: Depression is under-diagnosed and under-treated in most areas of the US. New York City is currently looking to close gaps in identifying and treating depression through the adoption of a screening and collaborative care model deployed throughout the city. Methods: We examine the cost-effectiveness of universal two-stage screening with the 2- and 9-item Patient Health Questionnaires (PHQ-2 and PHQ-9) in New York City followed by collaborative care for those who screen positive. We conducted microsimulations on hypothetical adult participants between ages 20 and 70. Results: The incremental cost-effectiveness of the interventions over the average lifespan of a 20-year-old adult in NYC is approximately $1,726/QALY gained (95% plausible interval: cost-saving, $10,594/QALY gained). Conclusions: Two-stage screening coupled with collaborative care for depression in the clinical setting appears to be significantly less expensive than most clinical preventive interventions, such as HIV screening in high-risk patients. However, effectiveness is dependent on the city’s ability to manage scale up of collaborative care models.

Suggested Citation

  • Boshen Jiao & Zohn Rosen & Martine Bellanger & Gary Belkin & Peter Muennig, 2017. "The cost-effectiveness of PHQ screening and collaborative care for depression in New York City," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-13, August.
    • Handle: RePEc:plo:pone00:0184210
    DOI: 10.1371/journal.pone.0184210
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    References listed on IDEAS

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    1. Carl Tilling & Marieke Kro & Aki Tsuchiya & John Brazier & Job Exel & Werner Brouwer, 2012. "Does the EQ-5D Reflect Lost Earnings?," PharmacoEconomics, Springer, vol. 30(1), pages 47-61, January.
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    Cited by:

    1. David Villarreal-Zegarra & Anthony Copez-Lonzoy & Antonio Bernabé-Ortiz & G J Melendez-Torres & Juan Carlos Bazo-Alvarez, 2019. "Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-15, September.

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