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The Cost Effectiveness of Treatment of Personality Disorder

The Cost Effectiveness of Treatment of Personality Disorder. Dr. Jan J.V. Busschbach PTC De Viersprong, Erasmus MC, Rotterdam, J.vanbusschbach@erasmusmc.nl www.Busschbach.nl. Cost Effectiveness. Cost Effects Cost / Effects. QALY League table. Rare formal CE research.

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The Cost Effectiveness of Treatment of Personality Disorder

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  1. The Cost Effectiveness of Treatment of Personality Disorder • Dr. Jan J.V. Busschbach • PTC De Viersprong, Erasmus MC, Rotterdam, • J.vanbusschbach@erasmusmc.nl • www.Busschbach.nl

  2. Cost Effectiveness • Cost • Effects • Cost / Effects QALY League table

  3. Rare formal CE research • Cost Effectiveness (CE) research focuses on: • New pharmaceutical • Guidelines NICE / CvZ • New high cost technical innovations • Hip fractions • For most common interventions no data • Wheel chair, home care, visits to family doctors… • Intervention in Personality Disorder are no exception • New initiatives in PD • University of Maastricht • De Viersprong (UvA, Erasmus MC)

  4. What doe we know? • Effects can be considerable • Personality Disorder can be treated successfully • Effect are generic • Cost can be high • As a complex psychological intervention has to be implemented • Savings in other area's are likely • As with all intensive treatments..

  5. Effects

  6. Direct costs STIP • STIP • Short-Term Inpatient Psychotherapy • Cost price • Per patient day: 210.34 € • 3 mouths = 91.3 day • 91.3 x 210 = 19,194.53 €

  7. The economic burden of personality disorders • Possible savings • Soeteman, et al. • Submitted to Journal of Clinical Psychiatry • Direct Medical costs before treatment • Total € 7397

  8. Productivity losses

  9. Savings • Savings might outweighed costs • Gabber et al. • Review 1997, AJP

  10. QALY League table

  11. Only cost effectiveness?

  12. Burden of disease Soeteman et al, 2007 The burden of disease in personality disorders: diagnosis-specific quality of life. Accepted for publication in the Journal of Personality Disorder

  13. Conclusion • Formal cost effectiveness data is lacking • Is on it way… • Costs are high • Savings are likely • Effects are substantial • The cost effectiveness is therefore likely to be reasonable • A cost effective treatment for a disease with a considerable burden

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