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Exploratory economic analyses of two primary care mental health projects: implications for sustainability
Author(s) -
Mihalopoulos Cathrine,
Shih Sophy TingFang,
Kiropoulos Litza,
Blashki Grant,
Meadows Graham,
Gunn Jane
Publication year - 2005
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2005.tb07184.x
Subject(s) - sustainability , primary care , mental health , exploratory research , primary health care , psychology , public economics , business , medicine , environmental health , environmental resource management , health care , natural resource economics , economics , psychiatry , economic growth , family medicine , sociology , social science , ecology , biology
Abstract We evaluated an Internet‐based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary‐care Evidence‐based Psychological‐interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions. Economic modelling suggests that Panic Online is cost‐effective when supported by either GPs or psychologists. Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost‐effectiveness ratio. The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers.