Closing the mental health treatment gap in South Africa: a review of costs and cost-effectiveness.
Identifieur interne : 000926 ( PubMed/Corpus ); précédent : 000925; suivant : 000927Closing the mental health treatment gap in South Africa: a review of costs and cost-effectiveness.
Auteurs : Helen Jack ; Ryan G. Wagner ; Inge Petersen ; Rita Thom ; Charles R. Newton ; Alan Stein ; Kathleen Kahn ; Stephen Tollman ; Karen J. HofmanSource :
- Global health action [ 1654-9880 ] ; 2014.
English descriptors
- KwdEn :
- Cost of Illness, Cost-Benefit Analysis (statistics & numerical data), Health Care Costs (statistics & numerical data), Humans, Mental Disorders (economics), Mental Disorders (epidemiology), Mental Disorders (therapy), Mental Health Services (economics), Mental Health Services (organization & administration), Prevalence, South Africa (epidemiology).
- MESH :
- geographic , epidemiology : South Africa.
- economics : Mental Disorders, Mental Health Services.
- epidemiology : Mental Disorders.
- organization & administration : Mental Health Services.
- statistics & numerical data : Cost-Benefit Analysis, Health Care Costs.
- therapy : Mental Disorders.
- Cost of Illness, Humans, Prevalence.
Abstract
Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scaling-up mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in system or spending changes.
PubMed: 24848654
Links to Exploration step
pubmed:24848654Le document en format XML
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Wagner</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Petersen, Inge" sort="Petersen, Inge" uniqKey="Petersen I" first="Inge" last="Petersen">Inge Petersen</name><affiliation><nlm:affiliation>School of Applied Human Sciences, University of KwaZulu Natal, Durban, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Thom, Rita" sort="Thom, Rita" uniqKey="Thom R" first="Rita" last="Thom">Rita Thom</name><affiliation><nlm:affiliation>PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Newton, Charles R" sort="Newton, Charles R" uniqKey="Newton C" first="Charles R" last="Newton">Charles R. Newton</name><affiliation><nlm:affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Stein, Alan" sort="Stein, Alan" uniqKey="Stein A" first="Alan" last="Stein">Alan Stein</name><affiliation><nlm:affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Hofman, Karen J" sort="Hofman, Karen J" uniqKey="Hofman K" first="Karen J" last="Hofman">Karen J. Hofman</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Karen.Hofman@wits.ac.za.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24848654</idno><idno type="pmid">24848654</idno><idno type="wicri:Area/PubMed/Corpus">000926</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000926</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Closing the mental health treatment gap in South Africa: a review of costs and cost-effectiveness.</title><author><name sortKey="Jack, Helen" sort="Jack, Helen" uniqKey="Jack H" first="Helen" last="Jack">Helen Jack</name><affiliation><nlm:affiliation>Department of Psychiatry, University of Oxford, Oxford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wagner, Ryan G" sort="Wagner, Ryan G" uniqKey="Wagner R" first="Ryan G" last="Wagner">Ryan G. Wagner</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Petersen, Inge" sort="Petersen, Inge" uniqKey="Petersen I" first="Inge" last="Petersen">Inge Petersen</name><affiliation><nlm:affiliation>School of Applied Human Sciences, University of KwaZulu Natal, Durban, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Thom, Rita" sort="Thom, Rita" uniqKey="Thom R" first="Rita" last="Thom">Rita Thom</name><affiliation><nlm:affiliation>PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Newton, Charles R" sort="Newton, Charles R" uniqKey="Newton C" first="Charles R" last="Newton">Charles R. Newton</name><affiliation><nlm:affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Stein, Alan" sort="Stein, Alan" uniqKey="Stein A" first="Alan" last="Stein">Alan Stein</name><affiliation><nlm:affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation></affiliation></author><author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Hofman, Karen J" sort="Hofman, Karen J" uniqKey="Hofman K" first="Karen J" last="Hofman">Karen J. Hofman</name><affiliation><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Karen.Hofman@wits.ac.za.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Global health action</title><idno type="eISSN">1654-9880</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cost of Illness</term><term>Cost-Benefit Analysis (statistics & numerical data)</term><term>Health Care Costs (statistics & numerical data)</term><term>Humans</term><term>Mental Disorders (economics)</term><term>Mental Disorders (epidemiology)</term><term>Mental Disorders (therapy)</term><term>Mental Health Services (economics)</term><term>Mental Health Services (organization & administration)</term><term>Prevalence</term><term>South Africa (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Mental Disorders</term><term>Mental Health Services</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Mental Health Services</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Cost-Benefit Analysis</term><term>Health Care Costs</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cost of Illness</term><term>Humans</term><term>Prevalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scaling-up mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in system or spending changes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24848654</PMID><DateCreated><Year>2014</Year><Month>05</Month><Day>22</Day></DateCreated><DateCompleted><Year>2015</Year><Month>02</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1654-9880</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Global health action</Title><ISOAbbreviation>Glob Health Action</ISOAbbreviation></Journal><ArticleTitle>Closing the mental health treatment gap in South Africa: a review of costs and cost-effectiveness.</ArticleTitle><Pagination><MedlinePgn>23431</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3402/gha.v7.23431</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scaling-up mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in system or spending changes.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify and review research from South Africa and sub-Saharan Africa on the direct and indirect costs of mental, neurological, and substance use (MNS) disorders and the cost-effectiveness of treatment interventions.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Narrative overview methodology.</AbstractText><AbstractText Label="RESULTS AND CONCLUSIONS" NlmCategory="CONCLUSIONS">Reviewed studies indicate that integrating mental health care into existing health systems may be the most effective and cost-efficient approach to increase access to mental health services in South Africa. Integration would also direct treatment, prevention, and screening to people with HIV and other chronic health conditions who are at high risk for mental disorders. We identify four major knowledge gaps: 1) accurate and thorough assessment of the health burdens of MNS disorders, 2) design and assessment of interventions that integrate mental health screening and treatment into existing health systems, 3) information on the use and costs of traditional medicines, and 4) cost-effectiveness evaluation of a range of specific interventions or packages of interventions that are tailored to the national context.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jack</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wagner</LastName><ForeName>Ryan G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Petersen</LastName><ForeName>Inge</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>School of Applied Human Sciences, University of KwaZulu Natal, Durban, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thom</LastName><ForeName>Rita</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Newton</LastName><ForeName>Charles R</ForeName><Initials>CR</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stein</LastName><ForeName>Alan</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Oxford, Oxford, UK; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kahn</LastName><ForeName>Kathleen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tollman</LastName><ForeName>Stephen</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Umeå Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hofman</LastName><ForeName>Karen J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; PRICELESS SA (Priority Cost Effective Lessons in System Strengthening South Africa), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Karen.Hofman@wits.ac.za.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>05</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Glob Health Action</MedlineTA><NlmUniqueID>101496665</NlmUniqueID><ISSNLinking>1654-9880</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Ann Gen Hosp Psychiatry. 2003 Jul 10;2(1):7</RefSource><PMID Version="1">12892565</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2009 Jun 27;373(9682):2234-46</RefSource><PMID 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Version="1">12214795</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D017281" MajorTopicYN="N">Cost of Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003362" MajorTopicYN="Y">Cost-Benefit Analysis</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017048" MajorTopicYN="Y">Health Care Costs</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008605" MajorTopicYN="N">Mental Health Services</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4038770</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">South Africa</Keyword><Keyword MajorTopicYN="N">costs and cost analysis</Keyword><Keyword MajorTopicYN="N">economics</Keyword><Keyword MajorTopicYN="N">health planning</Keyword><Keyword MajorTopicYN="N">mental health</Keyword><Keyword MajorTopicYN="N">policy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>11</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>12</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>12</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>2</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24848654</ArticleId><ArticleId IdType="pii">23431</ArticleId><ArticleId 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