The cost-effectiveness of PHQ screening and collaborative care for depression in New York City.

ABSTRACT:

Background

Depression is under-diagnosed and under-treated in most areas of the US. New York City is currently looking to close gaps in identifying and treating depression through the adoption of a screening and collaborative care model deployed throughout the city.

Methods

We examine the cost-effectiveness of universal two-stage screening with the 2- and 9-item Patient Health Questionnaires (PHQ-2 and PHQ-9) in New York City followed by collaborative care for those who screen positive. We conducted microsimulations on hypothetical adult participants between ages 20 and 70.

Results

The incremental cost-effectiveness of the interventions over the average lifespan of a 20-year-old adult in NYC is approximately $1,726/QALY gained (95% plausible interval: cost-saving, $10

SUBMITTER: Jiao B 

PROVIDER: S-EPMC5578679 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature