Cost-effectiveness of an Internet-based aftercare intervention after inpatient treatment in a psychosomatic hospital
Abstract
OBJECTIVE: The implementation of new interventions into routine care requires the demonstration of both their effectiveness and cost-effectiveness. METHOD: We explored the cost-effectiveness of an Internet-based aftercare program in addition to treatment as usual (CHAT) which was compared to treatment as usual (TAU) following inpatient treatment. Incremental cost-effectiveness ratios were calculated based on cost of the intervention, cost of outpatient treatment, and remission rates within 1 year after discharge from hospital. RESULTS: Assuming a willingness-to-pay of an additional 14.87 € per treatment for every additional percent of remission, CHAT was cost-effective against TAU at a 95% level of certainty. Cost per remission equaled 2664.84 € in TAU and 1752.75 € in CHAT (34.2% savings). CONCLUSIONS: This is the first evidence that Internet-based aftercare may enhance long-term treatment outcome in a cost-effective way.
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Only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders.
“only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders [30-33].”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [32]
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References 28 · Cited by 15
- Authors
- Moessner, M., Bauer, S., Özer, F., Wolf, M., Zimmer, B., & Kordy, H.
- Affiliations
- University Hospital Heidelberg (DE)
- ,
- Corresponding author
- Moessner, Markus
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2013-11-05
- Volume
- 24
- Issue
- 4
- Pages
- 496-503
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2101639674
- Cited by
- 15
- References
- 28
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 1
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- cost-effectiveness, inpatient care, remission rate, usual care, long-term treatment outcomes
- MeSH terms
- Adult, Aftercare, Mental Disorders, Cost-Benefit Analysis, Female, Hospitalization, Humans, Male, Middle Aged, Psychosomatic Medicine, Internet, Comparative Effectiveness Research
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