Cost-effectiveness analysis: A primer for psychologists

Abstract Given the more to managed care and capitated budgets, psychologists mus tnow prove that the treatments being offered are clinically effective in allaying symptoms and are cost-effective. Cost-effectiveness analysis (CEA) is often seen as a daunting task requiring one to pour over spread sheets with little empathy for the patient. This article attempts to break this daunting task down into nine reasonable steps. By using CEA, psychologists will have the data to compete for dollars in this time of limited funds. An overriding attempt was made not to use excessive technical jargon or formulas in this review. The goal of this article is to offer the average practitioner, clinic director, or department chair an casily understood method that can be adapted and applied to his or her unique environment. If psychologists, individually and as a profession, choose to ignore the power of CEA, other professionals may step in and take this power and control our future.

[1]  David M. Eddy Clinical decision making: from theory to practice. Cost-effectiveness analysis. Is it up to the task? , 1992 .

[2]  John E. Ware,et al.  SF-36 physical and mental health summary scales : a user's manual , 1994 .

[3]  M. J. Bennett The greening of the HMO: implications for prepaid psychiatry. , 1988, The American journal of psychiatry.

[4]  R. Neimeyer,et al.  Psychotherapy for the treatment of depression: a comprehensive review of controlled outcome research. , 1990, Psychological bulletin.

[5]  C. J. Schneider Cost effectiveness of biofeedback and behavioral medicine treatments: A review of the literature , 1987, Biofeedback and self-regulation.

[6]  Robert Rosenthal,et al.  Definition and interpretation of interaction effects. , 1989 .

[7]  Edward M. Gramlich,et al.  A guide to benefit-cost analysis , 1990 .

[8]  Bryan R. Luce,et al.  Cost-Benefit and Cost-Effectiveness Analysis in Health Care: Principles, Practice, and Potential , 1982 .

[9]  R M Kaplan,et al.  Behavior as the central outcome in health care. , 1990, The American psychologist.

[10]  D. Eddy Oregon's plan. Should it be approved? , 1991, JAMA.

[11]  Diana B. Petitti,et al.  Meta-Analysis, Decision Analysis, and Cost-Effectiveness Analysis: Methods for Quantitative Synthesis in Medicine , 1994 .

[12]  C E Phelps,et al.  Some interim results from a controlled trial of cost sharing in health insurance. , 1981, The New England journal of medicine.

[13]  H. Eysenck,et al.  THE EFFECTS OF PSYCHOTHERAPY. , 1965, International journal of psychiatry.

[14]  D M Eddy,et al.  Clinical decision making: from theory to practice. Cost-effectiveness analysis. Is it up to the task? , 1992, JAMA.

[15]  E. Devine Effects of psychoeducational care for adult surgical patients: a meta-analysis of 191 studies. , 1992, Patient education and counseling.

[16]  N. Cummings Emergence of the mental health complex: Adaptive and maladaptive responses. , 1988 .