A Systematic Review of Studies of the Cost-Effectiveness of Mental Health Consultation-Liaison Interventions in General Hospitals

Andreoli, Paola Bruno de Araujo; Cítero, Vanessa de Albuquerque; Mari, Jair de Jesus

doi:10.1176/appi.psy.44.6.499

Cited by 31 publications

(26 citation statements)

References 118 publications

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“…47 The six criteria are widely accepted in the literature and have been used by previous authors to evaluate the quality of economic evaluations. 3,6,8,54 The principles also concur with the recommendations proposed by the Panel on Cost-Effectiveness in Health and Medicine. 43 The first principle states that an explicit statement of the study’s perspective should be provided.…”

Section: Methodssupporting

confidence: 61%

Economic evaluations in shoulder pathologies: a systematic review of the literature

Kuye

Jain

Warner

et al. 2012

Journal of Shoulder and Elbow Surgery

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Background Economic evaluations provide decision makers with a tool for reducing healthcare costs because they assess both the costs and consequences of healthcare interventions. The purpose of this study was to review the quality of published economic evaluations for shoulder pathologies. Method A MEDLINE search from 1980–2010 was conducted to identify articles that contained either “cost” or “economic” in combination with terms for several shoulder disorders and treatments. We selected studies that fit the definition of one of the four routinely performed economic evaluations: cost-minimization, cost-effectiveness, cost-utility and cost-benefit analyses. Study quality was determined by measuring adherence to six established health economic principles as described in the literature. Results The search retrieved 942 studies. Of these, 32 studies were determined to be economic evaluations. Fifty three percent of the economic evaluations were published from 2005–2010. Only 25% (n=8) of the 32 studies adhered to all six health economic principles. Publication in a non-surgical journal (p<0.05) or in more recent years (p<0.01) was significantly associated with higher quality. Conclusion It is likely that future healthcare resource allocation will be based on the economic feasibility of treatments. Although the number and quality of economic evaluations on shoulder disorders have risen in recent years, the current state of the literature is poor. Given that availability of such data may factor in private and public reimbursement decisions, there is a clear demand for more rigorous economic evaluations. Level of evidence Level IV, Systematic Reviews and Meta-Analyses

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Section: Methodssupporting

confidence: 61%

Economic evaluations in shoulder pathologies: a systematic review of the literature

Kuye

Jain

Warner

et al. 2012

Journal of Shoulder and Elbow Surgery

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“…Length of stay was consistently increased for patients referred to psychiatric services recorded with the Microcares™ database across oncology, obstetric, renal and general medical services. 11,12 Casemix has the advantage of being in many Australian hospitals already and can easily code psychiatric consultation. 7 Other study designs have shown that C-L psychiatric services can decrease the average length of stay, 8 provide better patient outcomes and be cost-effective.…”

Section: Discussionmentioning

confidence: 99%

Data Collection in Consultation– Liaison Psychiatry: An Evaluation of Casemix

Ellen

Lacey

Kouzma

et al. 2006

Australas Psychiatry

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“…However, the authors were unable to state that a quick request reduces the patient's hospitalization period. Therefore, it is not possible to conclude that the intervention performed by the psychiatric consultation-liaison service has any effects on the length of hospitalization in the general hospital (42).…”

Section: Discussionmentioning

confidence: 99%

Assessment of referrals to an OT consultation-liaison service: a retrospective and comparative study

Gomes

Morais

Osório

et al. 2010

Scandinavian Journal of Occupational Therapy

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The objective was to conduct a retrospective and comparative study of the requests for consultation-liaison (RCLs), during a period of six years, sent to the Occupational Therapy (OT) team that acts as the Consultation-liaison Service in Mental Health. During the studied period 709 RCLs were made and 633 patients received OT consultations. The comparison group was extended to 1 129 consecutive referrals to the psychiatric CL service, within the same period and that were also retrospectively reviewed. Regarding to RCLs to the OT team, most of the subjects were women with incomplete elementary schooling, with a mean age of 39.2 years, and were self-employed or retired. Internal Medicine was responsible for most of the RCLs. The mean length of hospitalization was 51 days and the mean rate of referral was 0.5%, with the most frequent reason for the request being related to the emotional aspects and the most frequent psychiatric diagnosis was mood disorder. It is concluded that there is a clear demand for the development of consultation-liaison in OT, particularly with regard to the promotion of mental health in general hospitals.

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A Systematic Review of Studies of the Cost-Effectiveness of Mental Health Consultation-Liaison Interventions in General Hospitals

Cited by 31 publications

References 118 publications

Economic evaluations in shoulder pathologies: a systematic review of the literature

Economic evaluations in shoulder pathologies: a systematic review of the literature

Data Collection in Consultation– Liaison Psychiatry: An Evaluation of Casemix

Assessment of referrals to an OT consultation-liaison service: a retrospective and comparative study

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