De kosteneffectiviteit van interventies gericht op verslaving aan alcohol en drugs

Translated title of the contribution: Cost-effectiveness of addiction care

A. W.M. Suijkerbuijk, P. F. van Gils, P. G.J. Greeven, G. A. de Wit

Research output: Contribution to journalReview articlepeer-review

4 Citations (Scopus)

Abstract

BACKGROUND: A large number of interventions are available for the treatment of addiction. Professionals need to know about the effectiveness and cost-effectiveness of interventions so they can prioritise appropriate interventions for the treatment of addiction.

AIM: To provide an overview of the scientific literature on the cost-effectiveness of addiction treatment for alcohol- and drug-abusers.

METHOD: We searched the databases Medline and Centre for Reviews and Dissemination. To be relevant for our study, articles had to focus on interventions in the health-care setting, have a Western context and have a health-related outcome measure such as quality adjusted life years (QALY). Twenty-nine studies met our inclusion criteria: 15 for alcohol and 14 for drugs.

RESULTS: The studies on alcohol addiction related mainly to brief interventions. They proved to be cost-saving or had a favourable incremental cost-effectiveness ratio (ICER), remaining below the threshold of € 20,000 per QALY. The studies on drug addiction all involved pharmacotherapeutic interventions. In the case of 10 out of 14 interventions, the ICER was less than € 20,000 per QALY.

CONCLUSION: Almost all of the interventions studied were cost-saving or cost-effective. Many studies consider only health-care costs. Additional research, for instance using a social cost-benefit analysis, could provide more details about the costs of addiction and about the impact that an intervention could have in these/the costs.

Translated title of the contributionCost-effectiveness of addiction care
Original languageDutch
Pages (from-to)498-507
Number of pages10
JournalTijdschrift voor Psychiatrie
Volume57
Issue number7
Publication statusPublished - 2015

Keywords

  • Alcoholism
  • Cost-Benefit Analysis
  • Health Care Costs
  • Humans
  • Mental Health Services
  • Substance-Related Disorders
  • Treatment Outcome

Fingerprint

Dive into the research topics of 'Cost-effectiveness of addiction care'. Together they form a unique fingerprint.

Cite this