Cost-effectiveness of a free drug program for schizophrenia in Beijing, China

The International Journal of Social Psychiatry
Fang YanXin Ma

Abstract

Beijing municipal government launched a Free Drug Program (FDP) in 2013 to reduce the financial burden of schizophrenia patients. To assess the cost-effectiveness of a FDP designed for schizophrenia patients in Beijing, China. In all, 2007 schizophrenia patients enrolled in an FDP (FDP group) and 2001 schizophrenia patients who were not enrolled (non-FDP group) were randomly selected for a cross-sectional survey in August 2015. The study sought to develop a cost-effectiveness model to assess the FDP from the societal perspective in Beijing, China. Scenario analyses explored the potential strategies to further improve the cost-effectiveness of the FDP. The FDP group was associated with lower socioeconomic status and more advanced disease than the non-FDP group (unemployment rate: 48.8% vs 37.3%, p < .001; disability rate: 91.2% vs 64.1%, p < .001; overall comorbidity rate: 34.9% vs 28.8%, p < .001). The two groups exhibited similar disease severity and quality of life. However, the FDP group was associated with significantly lower direct medical costs (coefficient -.342, p = .003) and indirect costs (coefficient -.473, p < .001) than the non-FDP group. The base case incremental cost-effectiveness ratio (ICER) per gained quality-...Continue Reading

References

Jul 5, 2005·The British Journal of Psychiatry : the Journal of Mental Science·Keith HawtonJonathan J Deeks
May 3, 2006·The Journal of Clinical Psychiatry·Haya Ascher-SvanumJeff W Swanson
Jul 14, 2007·Schizophrenia Research·Yi-Lang TangPhilip B Mitchell
May 23, 2008·Schizophrenia Research·Yu-Tao XiangGabor S Ungvari
Aug 4, 2009·Social Psychiatry and Psychiatric Epidemiology·Kelvin M T FungFong Chan

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Citations

Apr 18, 2020·Journal of Comparative Effectiveness Research·Qiuping ZhongHui Tang

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