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首页> 外文期刊>The British journal of psychiatry : >Cost-effectiveness of a primary care model for anxiety disorders
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Cost-effectiveness of a primary care model for anxiety disorders

机译：焦虑症初级保健模型的成本效益

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Background Individuals with anxiety disorders often do not receive an accurate diagnosis or adequate treatment in primary care. Aims To analyse the cost-effectiveness of an optimised care model for people with anxiety disorders in primary care. Method In a cluster randomised controlled trial, 46 primary care practices with 389 individuals positively screened with anxiety were randomised to intervention (23 practices, 201 participants) or usual care (23 practices, 188 participants). Physicians in the intervention group received training on diagnosis and treatment of anxiety disorders combined with the offer of a psychiatric consultationa€“liaison service for 6 months. Anxiety, depression, quality of life, service utilisation and costs were assessed at baseline, 6-month and 9-month follow-up. Results No significant differences were observed between intervention and control group on the Beck Anxiety Inventory, Beck Depression Inventory and EQa€“5D during follow-up. Total costs were higher in the intervention group (a??4911 v . a??3453, P = 0.09). The probability of an incremental cost-effectiveness ratio a??50 000 per quality-adjusted life year was below 10%. Conclusions The optimised care model did not prove to be cost-effective.
机译：背景技术患有焦虑症的人在初级保健中通常没有得到准确的诊断或适当的治疗。目的分析针对初级保健中焦虑症患者的优化护理模型的成本效益。方法在一项整群随机对照试验中，将对389名经过积极筛查的焦虑症患者进行的46项初级护理实践随机分为干预（23项实践，201名参与者）或常规护理（23项实践，188名参与者）。干预组的医生接受了有关焦虑症诊断和治疗的培训，并提供了为期6个月的精神科咨询服务。在基线，6个月和9个月的随访中评估了焦虑，抑郁，生活质量，服务利用和费用。结果随访期间，干预组和对照组在贝克焦虑量表，贝克抑郁量表和EQa 5D方面无显着差异。干预组的总费用较高（a ?? 4911 v.a ?? 3453，P = 0.09）。每质量调整生命年内，成本效益比增加的可能性＜a？50000低于10％。结论优化的护理模型并未证明具有成本效益。

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