ECONOMIC EVALUATION OF A BlO-PSYCHO-SOCIAL INTERVENTION FOR COMORBID DISORDERS IN A TRAUMATIZED POPULATION IN POST-WAR KOSOVO

作者：Chang Wei Lun; Andersen Cant Jacques; Shatri Berisha Besa; Estrup Olena; Wang Shr Jie^*

来源：Journal of Rehabilitation Medicine, 2018, 50(5): 444-450.

DOI：10.2340/16501977-2322

• torture
• war
• multidisciplinary intervention
• comorbid disorders
• cost-effectiveness
• cost-utility
• cost-benefit
• randomized controlled trial

Objective: Post-hoc economic evaluation of a biopsycho-social intervention in post-war Kosovo from a societal perspective.
Design: Cost-effectiveness analysis, cost-utility analysis, and partial cost-benefit analysis using data from a randomized controlled trial.
Patients: Thirty-four torture/war victims with comorbid conditions enrolled in 2012-2013.
Methods: Participants were randomly assigned to an "intervention" and a "waiting-list" group. Changes in mental, emotional and physical health and functional impairment were assessed before and after treatment, along with increase in labour income as a proxy for productivity gain. The cost of an extra unit of effectiveness and an additional quality-adjusted life year were calculated.
Results: The total cost per participant was (sic)1,3 22 including, or (sic)1,019 excluding, research costs. Wide variations in costs of changes in mental, emotional and physical effectiveness were demonstrated. Multidisciplinary intervention resulted in functional improvement at a cost of (sic)10,508 per quality-adjusted life year gained. With a mean monthly income increase to (sic)133 (18%) after intervention, the intervention cost per participant would be equal to the total increase in monthly income after 4-5 years, assuming the increased level is maintained.
Conclusion: Socio-economic benefit associated with quality-adjusted life year gain is shown, although the cost of an additional quality-adjusted life year is above the World Health Organization cost-effectiveness threshold.

• 出版日期2018-5