Journal Article

Resource allocation for depression management in general practice: A simple data-based filter model

Oldmeadow, Christopher, Sanson-Fisher, Rob, Searles, Andrew, Carey, Mariko, Hobden, Breanne, Boyes, Allison

2021

Overview

This study aimed to illustrate the potential utility of a simple filter model in understanding the patient outcome and cost-effectiveness implications for depression interventions in primary care. Modelling of hypothetical intervention scenarios during different stages of the treatment pathway was conducted. Three scenarios were developed for depression related to increasing detection, treatment response and treatment uptake. The incremental costs, incremental number of successes (i.e., depression remission) and the incremental costs-effectiveness ratio (ICER) were calculated. In the modelled scenarios, increasing provider treatment response resulted in the greatest number of incremental successes above baseline, however, it was also associated with the greatest ICER. Increasing detection rates was associated with the second greatest increase to incremental successes above baseline and had the lowest ICER. The authors recommend utility of the filter model to guide the identification of areas where policy stakeholders and/or researchers should invest their efforts in depression management.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Care and treatment / Collaboration / Cost analysis / Cost estimates / Decision trees / Depression, Mental / Diagnosis / Editing / Health behavior / Health care / Health care rationing / Intervention / Management / Medical personnel / Medical research / Medicine / Medicine and Health Sciences / Mental depression / Mental health / Patients / Primary care / Primary health care / Public health / Research facilities / Resource allocation / Resource management / Science Policy / Social Sciences