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Effect of Reliable Recovery on Health Care Costs and Productivity Losses in Emotional Disorders.
Barrio-Martínez, Sara; Ruiz-Rodríguez, Paloma; Medrano, Leonardo Adrián; Priede, Amador; Muñoz-Navarro, Roger; Moriana, Juan Antonio; Carpallo-González, María; Prieto-Vila, Maider; Cano-Vindel, Antonio; González-Blanch, César.
Afiliación
  • Barrio-Martínez S; Complutense University of Madrid and Valdecilla Biomedical Research Institute. Electronic address: sbarrio@idival.org.
  • Ruiz-Rodríguez P; Embarcaciones Primary Care Centre, Health Service of Madrid.
  • Medrano LA; Pontificia Universidad Católica Madre y Maestra.
  • Priede A; Valdecilla Biomedical Research Institute and Mental Health Centre, Hospital de Laredo.
  • Muñoz-Navarro R; University of Valencia.
  • Moriana JA; Universidad de Córdoba and Maimónides Institute for Research in Biomedicine of Cordoba.
  • Carpallo-González M; University of Valencia.
  • Prieto-Vila M; Complutense University of Madrid.
  • Cano-Vindel A; Complutense University of Madrid.
  • González-Blanch C; Mental Health Centre, Marqués de Valdecilla University Hospital and Universidad Europea del Atlántico.
Behav Ther ; 55(3): 585-594, 2024 May.
Article en En | MEDLINE | ID: mdl-38670670
ABSTRACT
Despite the high economic costs associated with emotional disorders, relatively few studies have examined the variation in costs according to whether the patient has achieved a reliable recovery. The aim of this study was to explore differences in health care costs and productivity losses between primary care patients from a previous randomized controlled trial (RCT)-PsicAP-with emotional symptoms who achieved a reliable recovery and those who did not after transdiagnostic cognitive-behavioral therapy (TD-CBT) plus treatment as usual (TAU) or TAU alone. Sociodemographic and cost data were obtained for 134 participants treated at five primary care centers in Madrid for the 12-month posttreatment period. Reliable recovery rates were higher in the patients who received TD-CBT + TAU versus TAU alone (66% vs. 34%, respectively; chi-square = 13.78, df = 1, p < .001). Patients who did not achieve reliable recovery incurred more costs, especially associated with general practitioner consultations (t = 3.01, df = 132, p = .003), use of emergency departments (t = 2.20, df = 132, p = .030), total health care costs (t = 2.01, df = 132, p = .040), and sick leaves (t = 1.97, df = 132, p = .048). These findings underscore the societal importance of achieving a reliable recovery in patients with emotional disorders, and further support the value of adding TD-CBT to TAU in the primary care setting.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Costos de la Atención en Salud Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Ther Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Costos de la Atención en Salud Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Ther Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido