The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .
Cost-effectiveness analysis of a rural telemedicine collaborative care intervention for depression.
CONTEXT Collaborative care interventions for depression in primary care setting s are clinical ly beneficial and cost-effective . Most prior studies were conducted in urban setting s. OBJECTIVE To examine the cost-effectiveness of a rural telemedicine-based collaborative care depression intervention . DESIGN R and omized controlled trial of intervention vs usual care . SETTING Seven small ( serving 1000 to 5000 veterans ) Veterans Health Administration community-based outpatient clinics serving rural catchment areas in 3 mid-South states . Each site had interactive televideo dedicated to mental health but no psychiatrist or psychologist on site . Patients Among 18 306 primary care patients who were screened , 1260 ( 6.9 % ) screened positive for depression ; 395 met eligibility criteria and were enrolled from April 2003 to September 2004 . Of those enrolled , 360 ( 91.1 % ) completed a 6-month follow-up and 335 ( 84.8 % ) completed a 12-month follow-up . Intervention A stepped-care model for depression treatment was used by an off-site depression care team to make treatment recommendations via electronic medical record . The team included a nurse depression care manager , clinical pharmacist , and psychiatrist . The depression care manager communicated with patients via telephone and was supported by computerized decision support software . MAIN OUTCOME MEASURES The base case cost analysis included outpatient , pharmacy , and intervention expenditures . The effectiveness outcomes were depression-free days and quality -adjusted life years ( QALYs ) calculated using the 12-Item Short Form Health Survey st and ard gamble conversion formula . RESULTS The incremental depression-free days outcome was not significant ( P = .10 ) ; therefore , further cost-effectiveness analyses were not done . The incremental QALY outcome was significant ( P = .04 ) and the mean base case incremental cost-effectiveness ratio was $ 85 634/QALY . Results adding inpatient costs were $ 111 999/QALY to $ 132 175/QALY . CONCLUSIONS In rural setting s , a telemedicine-based collaborative care intervention for depression is effective and expensive . The mean base case result was $ 85 634/QALY , which is greater than cost per QALY ratios reported for other , mostly urban , depression collaborative care interventions
The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .