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See Latest ArticlesEconomic Evaluation of an Integrated Diagnostic Approach for Psychogeriatric Patients
Archives of General Psychiatry, 03/12/09
Wolfs CAG et al. - On the basis of the main cost-per-QALY analysis, the use of the integrated multidisciplinary diagnostic facility is cost-effective for the diagnosis and management of dementia in ambulatory patients.
Methods- A total of 137 patients who received care in the multidisciplinary diagnostic facility and 93 who received usual care.
- Quality-adjusted life-years (QALYs) as the main outcome measure and cognition and behavioral problems as secondary outcome measures.
- Compared with patients receiving usual care, patients who visited the diagnostic facility gained a mean 0.05 QALY at the extra cost of 65.
- The incremental cost per QALY amounted to 1267.
- This point estimate lies beneath commonly accepted thresholds and is within an acceptable range of uncertainty.
- With regard to the secondary analyses, cost-effectiveness results showed a substantial amount of uncertainty and were therefore indecisive.
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