Document Detail


Perspective and the measurement of costs and benefits for cost-effectiveness analysis in schizophrenia.
MedLine Citation:
PMID:  10073375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A valid and compelling cost-effectiveness analysis of psychopharmacologic treatment of schizophrenia requires the application of analytically rigorous methods. All cost-effectiveness analyses must consider the issue of perspective as the well as the appropriate measurement of benefits and costs. Many of these issues are particularly difficult to address in the case of schizophrenia. Since costs may be borne by a wide range of parties, the choice of perspective is of critical importance. The fact that treatments for schizophrenia can extend life and the complexities raised by taking a broad perspective on the benefits and costs of treating schizophrenia can create challenges in the measurement of both benefits and costs. The measurement of benefits through quality-adjusted life years is also crucial in demonstrating the cost-effectiveness of treatments for schizophrenia, but is challenging because of the difficulty of measuring quality of life in schizophrenic patients. Attention to these important methodological issues is essential if cost-effectiveness analyses are to be useful in shepherding scarce resources to worthwhile treatments for patients with schizophrenia.
Authors:
D Meltzer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of clinical psychiatry     Volume:  60 Suppl 3     ISSN:  0160-6689     ISO Abbreviation:  J Clin Psychiatry     Publication Date:  1999  
Date Detail:
Created Date:  1999-03-15     Completed Date:  1999-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801243     Medline TA:  J Clin Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  32-5; discussion 36-7     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Chicago, Ill 60637, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care / economics
Antipsychotic Agents / economics*,  therapeutic use*
Cost of Illness
Cost-Benefit Analysis
Drug Costs
Family Health
Health Care Costs
Hospitalization / economics
Humans
Schizophrenia / drug therapy*,  economics*
Chemical
Reg. No./Substance:
0/Antipsychotic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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