Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations

Kularatna, Sanjeewa and Hettiarachchi, Ruvini and Senanayake, Sameera and Murphy, Ciara and Donovan, Caroline and March, Sonja ORCID: https://orcid.org/0000-0001-8425-7126 (2022) Cost-effectiveness analysis of paediatric mental health interventions: a systematic review of model-based economic evaluations. BMC Health Services Research, 22:542. pp. 1-17.

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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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Psychology and Wellbeing (1 Jan 2022 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 03 May 2022 02:24
Last Modified: 03 May 2022 02:24
Uncontrolled Keywords: Mental health: model-based; cost effectiveness; economic evaluations; child; adolescents
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services
32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321302 Infant and child health
38 ECONOMICS > 3801 Applied economics > 380108 Health economics
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health
20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200506 Neonatal and child health
20 HEALTH > 2003 Provision of health and support services > 200305 Mental health services
Funding Details:
Identification Number or DOI: https://doi.org/10.1186/s12913-022-07939-x
URI: http://eprints.usq.edu.au/id/eprint/48038

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