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Article: Cost-effectiveness of an early assessment service for young people with early psychosis in Hong Kong

TitleCost-effectiveness of an early assessment service for young people with early psychosis in Hong Kong
Authors
Keywordscost-effectiveness
early intervention
first episode
Psychosis
schizophrenia
Issue Date2011
PublisherInforma Healthcare. The Journal's web site is located at http://informahealthcare.com/anp
Citation
Australian And New Zealand Journal Of Psychiatry, 2011, v. 45 n. 8, p. 673-680 How to Cite?
AbstractObjective: The Early Assessment Service for Young People with Early Psychosis (EASY) was developed in Hong Kong in 2001 to provide a comprehensive and integrated approach for early detection and intervention for young people suffering from first episode psychosis. The present study examined the cost-effectiveness of the service over a period of 24 months compared to standard care. Method: This is a historical control study. Sixty-five patients who presented to the EASY service in 2001 with first episode psychosis were individually matched (on age, sex and diagnosis) with 65 patients who received standard psychiatric care in a precursor service (pre-EASY) between 1999 and 2000. A retrospective cost-effectiveness analysis was conducted over a period of 24 months. The overall average cost of service utilization per patient and the effects on hospitalization rate were compared using bootstrapping analysis. Cost per point improvement in Positive and Negative Syndrome Scale (PANSS) was also computed with sensitivity analysis. Only direct costs were analysed in the current study. Results: There was no significant difference in service utilization between the EASY and pre-EASY standard care groups. The cost-effectiveness acceptability curve, which was used to explore uncertainty in estimates of cost and effects, suggested that there was a probability of at least 94% that the EASY model was more cost-effective than the pre-EASY service in reducing psychiatric inpatient admissions. EASY patients also showed superior results in average cost per unit improvement in PANSS. Conclusions: EASY is likely to be more cost-effective in improving outcomes, particularly in reducing hospitalization and improving clinical symptoms among young people with first episode psychosis. This study provides a perspective from the east Asian region, and supports further development of similar services, particularly in the local setting. However, further studies with a longer follow up period and larger sample size are required to verify these findings. © 2011 The Royal Australian and New Zealand College of Psychiatrists.
Persistent Identifierhttp://hdl.handle.net/10722/149137
ISSN
2015 Impact Factor: 3.536
2015 SCImago Journal Rankings: 1.269
ISI Accession Number ID
Funding AgencyGrant Number
Research Grants Council, Hong Kong
Early Assessment Service for Young People (EASY) in Hong Kong
Funding Information:

This work was supported by a research grant from the Research Grants Council, Hong Kong (FEP grant) and the Early Assessment Service for Young People with First-episode Psychosis Programme (EASY) in Hong Kong. The authors alone are responsible for the content and writing of the paper.

References

 

DC FieldValueLanguage
dc.contributor.authorWong, KKen_HK
dc.contributor.authorChan, SKWen_HK
dc.contributor.authorLam, MMLen_HK
dc.contributor.authorHui, CLMen_HK
dc.contributor.authorHung, SFen_HK
dc.contributor.authorTay, Men_HK
dc.contributor.authorLee, KHen_HK
dc.contributor.authorChen, EYHen_HK
dc.date.accessioned2012-06-22T06:26:20Z-
dc.date.available2012-06-22T06:26:20Z-
dc.date.issued2011en_HK
dc.identifier.citationAustralian And New Zealand Journal Of Psychiatry, 2011, v. 45 n. 8, p. 673-680en_HK
dc.identifier.issn0004-8674en_HK
dc.identifier.urihttp://hdl.handle.net/10722/149137-
dc.description.abstractObjective: The Early Assessment Service for Young People with Early Psychosis (EASY) was developed in Hong Kong in 2001 to provide a comprehensive and integrated approach for early detection and intervention for young people suffering from first episode psychosis. The present study examined the cost-effectiveness of the service over a period of 24 months compared to standard care. Method: This is a historical control study. Sixty-five patients who presented to the EASY service in 2001 with first episode psychosis were individually matched (on age, sex and diagnosis) with 65 patients who received standard psychiatric care in a precursor service (pre-EASY) between 1999 and 2000. A retrospective cost-effectiveness analysis was conducted over a period of 24 months. The overall average cost of service utilization per patient and the effects on hospitalization rate were compared using bootstrapping analysis. Cost per point improvement in Positive and Negative Syndrome Scale (PANSS) was also computed with sensitivity analysis. Only direct costs were analysed in the current study. Results: There was no significant difference in service utilization between the EASY and pre-EASY standard care groups. The cost-effectiveness acceptability curve, which was used to explore uncertainty in estimates of cost and effects, suggested that there was a probability of at least 94% that the EASY model was more cost-effective than the pre-EASY service in reducing psychiatric inpatient admissions. EASY patients also showed superior results in average cost per unit improvement in PANSS. Conclusions: EASY is likely to be more cost-effective in improving outcomes, particularly in reducing hospitalization and improving clinical symptoms among young people with first episode psychosis. This study provides a perspective from the east Asian region, and supports further development of similar services, particularly in the local setting. However, further studies with a longer follow up period and larger sample size are required to verify these findings. © 2011 The Royal Australian and New Zealand College of Psychiatrists.en_HK
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://informahealthcare.com/anpen_HK
dc.relation.ispartofAustralian and New Zealand Journal of Psychiatryen_HK
dc.subjectcost-effectivenessen_HK
dc.subjectearly interventionen_HK
dc.subjectfirst episodeen_HK
dc.subjectPsychosisen_HK
dc.subjectschizophreniaen_HK
dc.titleCost-effectiveness of an early assessment service for young people with early psychosis in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, MML: maylam11@hku.hken_HK
dc.identifier.emailChen, EYH: eyhchen@hku.hken_HK
dc.identifier.authorityLam, MML=rp00296en_HK
dc.identifier.authorityChen, EYH=rp00392en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3109/00048674.2011.586329en_HK
dc.identifier.pmid21870925-
dc.identifier.scopuseid_2-s2.0-80052228595en_HK
dc.identifier.hkuros200165en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052228595&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume45en_HK
dc.identifier.issue8en_HK
dc.identifier.spage673en_HK
dc.identifier.epage680en_HK
dc.identifier.eissn1440-1614-
dc.identifier.isiWOS:000294324700012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridWong, KK=37096582900en_HK
dc.identifier.scopusauthoridChan, SKW=55039018700en_HK
dc.identifier.scopusauthoridLam, MML=13106178700en_HK
dc.identifier.scopusauthoridHui, CLM=35734149500en_HK
dc.identifier.scopusauthoridHung, SF=55180162000en_HK
dc.identifier.scopusauthoridTay, M=8528684700en_HK
dc.identifier.scopusauthoridLee, KH=50461978700en_HK
dc.identifier.scopusauthoridChen, EYH=7402315729en_HK

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