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首页> 外文期刊>Irish journal of medical science >A cost-effectiveness analysis of dialectical behaviour therapy for treating individuals with borderline personality disorder in the community
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A cost-effectiveness analysis of dialectical behaviour therapy for treating individuals with borderline personality disorder in the community

机译：辩证行为治疗对社区边疆人格障碍的辩证行为治疗的成本效益分析

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Background/aims This paper investigates the cost-effectiveness of dialectical behaviour therapy (DBT) for treating individuals with borderline personality disorder (BPD) in a community setting in Ireland, in the short term. Methods Resource utilisation and effectiveness data were collected as part of the National DBT Project, Ireland, and are incorporated into a cost-effectiveness analysis. The perspective taken was that of the service provider and payer. Direct health resources were included and effectiveness was measured using the EQ-5D-5L questionnaire. To examine cost-effectiveness, incremental costs are compared with incremental quality-adjusted life years, to estimate an incremental cost-effectiveness ratio. A probabilistic sensitivity analysis was employed to investigate parameter uncertainty. Scenario analyses are employed to investigate cost-effectiveness of DBT with varying assumptions around effectiveness and costs. Results The baseline analysis reveals that DBT is more expensive and more effective than routine clinical care (without DBT). The low incremental cost-effectiveness ratio suggests DBT can be considered cost effective in the short term. In each scenario analyses considered, the probability that DBT is cost effective is greater than 50%. Conclusions Mental health care provision, including that of DBT, varies across jurisdictions, necessitating economic evaluations of current practice in community-based services, on a country-by-country basis, to inform resource allocation decisions. In line with previous research, the analysis here indicates DBT can be considered cost effective in the short term. Future data collection on alternative comparators and long-term outcomes associated with DBT is warranted to investigate the longer term cost-effectiveness of DBT.
机译：背景/宗旨本文调查了辩证行为疗法（DBT）在短期内将具有边界人格障碍（BPD）的个体治疗个人的成本效益（DBT）。方法采用资源利用和有效性数据作为国家DBT项目，爱尔兰的一部分，并纳入成本效益分析。所采取的观点是服务提供商和付款人。包括直接健康资源，使用EQ-5D-5L问卷调查衡量有效性。为了检查成本效益，将增量成本与增量质量调整后的终身年度进行比较，以估算增量成本效益率。采用概率敏感性分析来调查参数不确定性。使用方案分析来调查DBT的成本效益，其有效性和成本不同。结果基线分析表明，DBT比常规临床护理更昂贵，更有效（没有DBT）。低增量成本效益比表明DBT可以在短期内被认为是成本效益。在考虑的每种情况下，DBT成本效益的概率大于50％。结论精神保健条款，包括DBT，跨国管辖区各不相同，需要在逐个国家的社区服务中对当前实践的经济评估，以告知资源分配决策。符合以前的研究，这里的分析表明DBT可以在短期内被认为是成本效益的。未来数据收集有关与DBT相关的替代比较器和长期成果，以调查DBT的长期成本效益。

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