Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations
Abstract Mental health disorders among children and youth are causing significant burden on health care systems. Hence, identifying cost-effective interventions is important for effective mental health care allocation. Although model-based economic evaluations are an essential component of assessing...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-07939-x |
| _version_ | 1828767323221131264 |
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| author | Sanjeewa Kularatna Ruvini Hettiarachchi Sameera Senanayake Ciara Murphy Caroline Donovan Sonja March |
| author_facet | Sanjeewa Kularatna Ruvini Hettiarachchi Sameera Senanayake Ciara Murphy Caroline Donovan Sonja March |
| author_sort | Sanjeewa Kularatna |
| collection | DOAJ |
| description | Abstract Mental health disorders among children and youth are causing significant burden on health care systems. Hence, identifying cost-effective interventions is important for effective mental health care allocation. Although model-based economic evaluations are an essential component of assessing cost-effectiveness, evidence are limited in the context of child and youth mental health care. The objective was to systematically review the model-based economic evaluations of mental health interventions for children and youth. Methods Four databases (MEDLINE, EMBASE, PsycINFO and Web of Science) were searched using appropriate search terms to retrieve model-based economic evaluations of mental health interventions for children and youth. The reporting quality of the included studies were appraised using the Consolidated health economic evaluation reporting standards (CHEERS) checklist. Results The database search yielded 1921 records. Of the 12 selected for review, 66% were published after year 2015. Most of the studies were related to anxiety and post-traumatic stress disorder. There were eight cost-utility studies, three cost-effectiveness studies, and one study using both forms of analysis. Six studies used Markov models, three used decision trees, and three studies used both types of models. However, the model structure, health states, time horizon, and economic perspective showed wide variation. The reporting quality of the included studies varied from 91 to 96%. Conclusion Model based mental health economic evaluations among children and youth are increasingly being reported in recent research. The included studies used Markov models and decision trees, either alone or in combination, and the majority of the articles were of good reporting quality. |
| first_indexed | 2024-12-11T07:24:01Z |
| format | Article |
| id | doaj.art-ff6b4a2b69a94b91a0ba27722c79b9a8 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T07:24:01Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ff6b4a2b69a94b91a0ba27722c79b9a82022-12-22T01:16:01ZengBMCBMC Health Services Research1472-69632022-04-0122111710.1186/s12913-022-07939-xCost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluationsSanjeewa Kularatna0Ruvini Hettiarachchi1Sameera Senanayake2Ciara Murphy3Caroline Donovan4Sonja March5Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT)Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT)Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT)Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health & Social Work, Queensland University of Technology (QUT)School of Applied Psychology, Griffith UniversitySchool of Psychology & Counselling and Centre for Health Research, University of Southern QueenslandAbstract Mental health disorders among children and youth are causing significant burden on health care systems. Hence, identifying cost-effective interventions is important for effective mental health care allocation. Although model-based economic evaluations are an essential component of assessing cost-effectiveness, evidence are limited in the context of child and youth mental health care. The objective was to systematically review the model-based economic evaluations of mental health interventions for children and youth. Methods Four databases (MEDLINE, EMBASE, PsycINFO and Web of Science) were searched using appropriate search terms to retrieve model-based economic evaluations of mental health interventions for children and youth. The reporting quality of the included studies were appraised using the Consolidated health economic evaluation reporting standards (CHEERS) checklist. Results The database search yielded 1921 records. Of the 12 selected for review, 66% were published after year 2015. Most of the studies were related to anxiety and post-traumatic stress disorder. There were eight cost-utility studies, three cost-effectiveness studies, and one study using both forms of analysis. Six studies used Markov models, three used decision trees, and three studies used both types of models. However, the model structure, health states, time horizon, and economic perspective showed wide variation. The reporting quality of the included studies varied from 91 to 96%. Conclusion Model based mental health economic evaluations among children and youth are increasingly being reported in recent research. The included studies used Markov models and decision trees, either alone or in combination, and the majority of the articles were of good reporting quality.https://doi.org/10.1186/s12913-022-07939-xMental health: model-basedCost effectivenessEconomic evaluationsChildAdolescents |
| spellingShingle | Sanjeewa Kularatna Ruvini Hettiarachchi Sameera Senanayake Ciara Murphy Caroline Donovan Sonja March Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations BMC Health Services Research Mental health: model-based Cost effectiveness Economic evaluations Child Adolescents |
| title | Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations |
| title_full | Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations |
| title_fullStr | Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations |
| title_full_unstemmed | Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations |
| title_short | Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations |
| title_sort | cost effectiveness analysis of paediatric mental health interventions a systematic review of model based economic evaluations |
| topic | Mental health: model-based Cost effectiveness Economic evaluations Child Adolescents |
| url | https://doi.org/10.1186/s12913-022-07939-x |
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