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BMC Health Services Research
Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Research article

Innovation in health economic modelling of service improvements for longer-term depression: demonstration in a local health community

Authors: Jonathan Tosh, Ben Kearns, Alan Brennan, Glenys Parry, Thomas Ricketts, David Saxon, Alexis Kilgarriff-Foster, Anna Thake, Eleni Chambers, Rebecca Hutten

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

The purpose of the analysis was to develop a health economic model to estimate the costs and health benefits of alternative National Health Service (NHS) service configurations for people with longer-term depression.

Method

Modelling methods were used to develop a conceptual and health economic model of the current configuration of services in Sheffield, England for people with longer-term depression. Data and assumptions were synthesised to estimate cost per Quality Adjusted Life Years (QALYs).

Results

Three service changes were developed and resulted in increased QALYs at increased cost. Versus current care, the incremental cost-effectiveness ratio (ICER) for a self-referral service was £11,378 per QALY. The ICER was £2,227 per QALY for the dropout reduction service and £223 per QALY for an increase in non-therapy services. These results were robust when compared to current cost-effectiveness thresholds and accounting for uncertainty.

Conclusions

Cost-effective service improvements for longer-term depression have been identified. Also identified were limitations of the current evidence for the long term impact of services.
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Metadata
Title
Innovation in health economic modelling of service improvements for longer-term depression: demonstration in a local health community
Authors
Jonathan Tosh
Ben Kearns
Alan Brennan
Glenys Parry
Thomas Ricketts
David Saxon
Alexis Kilgarriff-Foster
Anna Thake
Eleni Chambers
Rebecca Hutten
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-150

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