An Evaluation of the Health Economics of Postnatal Depression Prevention and Treatment Strategies in China: A Cost-Effectiveness Analysis

被引:0
作者
Zheng, Zhou [1 ]
Feng, Tianyu [1 ]
Xu, Jiaying [1 ]
Zhang, Xiaolin [1 ]
Yu, Xihe [1 ]
机构
[1] Jilin Univ, Sch Publ Hlth, Changchun 130022, Peoples R China
关键词
cost-effectiveness analysis; postpartum depression; women's health; mental healthcare; POSTPARTUM DEPRESSION; RISK-FACTORS; PREVALENCE; ANXIETY; PROGRESS;
D O I
10.3390/healthcare12111076
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: The primary objectives of this study are to assess the cost-effectiveness of early postnatal screening and prenatal psychological interventions for the prevention and treatment of postpartum depression (PPD) among Chinese pregnant women. Additionally, we aim to explore the most cost-effective prevention and treatment strategies for PPD in China. Methods: We used TreeAge 2019 to construct a decision tree model, with the model assuming a simulated queue size of 10,000 people. The model employed Monte Carlo simulation to assess the cost-effectiveness of PPD prevention and treatment strategies. Transfer probabilities were derived from published studies and meta-analyses. Cost and effectiveness data were obtained from published sources and relevant studies. Incremental cost-effectiveness ratios (ICERs) were used to describe the results, with willingness-to-pay (WTP) thresholds set at China's gross domestic product (GDP) per capita. Results: Compared to the usual care group, the cost per additional quality-adjusted life year (QALY) for the early postnatal screening group and the prenatal psychological interventions is USD 6840.28 and USD 3720.74, respectively. The cure rate of mixed treatments for PPD has the greatest impact on the model, while patient participation in treatment has a minor impact on the cost-effectiveness of prevention and treatment strategies. Conclusion: Both early postnatal screening and prenatal psychological interventions are found to be highly cost-effective strategies for preventing and treating PPD in China. Prenatal psychological interventions for pregnant women are the most cost-effective prevention and treatment strategy. As such, from the perspective of national payers, we recommend that maternal screening for PPD be implemented in China to identify high-risk groups early on and to facilitate effective intervention.
引用
收藏
页数:13
相关论文
共 65 条
  • [1] Alberta Health Services, 2023, Postpartum Depression
  • [2] American Psychiatric Association APA, 2013, DIAGNOSTIC STAT MANU, DOI 10.1176/appi.books.9780890425596
  • [3] Seeing the whole picture of postpartum depression
    不详
    [J]. LANCET PSYCHIATRY, 2019, 6 (07): : 547 - 547
  • [4] Lifetime costs of perinatal anxiety and depression
    Bauer, Annette
    Knapp, Martin
    Parsonage, Michael
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2016, 192 : 83 - 90
  • [5] The estimation of a preference-based measure of health from the SF-36
    Brazier, J
    Roberts, J
    Deverill, M
    [J]. JOURNAL OF HEALTH ECONOMICS, 2002, 21 (02) : 271 - 292
  • [6] Chad L, 2013, CAN FAM PHYSICIAN, V59, P633
  • [7] Perinatal depression screening: Let's not throw the baby out with the bath water!
    Chaudron, Linda H.
    Wisner, Katherine L.
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2014, 76 (06) : 489 - 491
  • [8] Some People May Need it, But Not Me, Not Now: Seeking Professional Help for Mental Health Problems in Urban China
    Chen, Juan
    [J]. TRANSCULTURAL PSYCHIATRY, 2018, 55 (06) : 754 - 774
  • [9] China NHCO, Exploring the Work Programme of Specialised Services for Depression Prevention and Treatment EB/OL
  • [10] Dou J.P., 2018, Psychol. Dr, V24, P81