The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries : systematic review
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Fecha
2020-04-20Autor(es)
Cubillos, LeonardoBartels, Sophia M.
Torrey, William C.
Naslund, John
Uribe-Restrepo, José Miguel
Gaviola, Chelsea
Castro Díaz, Sergio
John, Deepak T.
Williams, Makeda J.
Cepeda, Magda
Gómez-Restrepo, Carlos
Marsch, Lisa A.
Autor(es) Corporativo(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Tipo
Artículo de revista
ISSN
2056-4708 / 2056-4694 (Electrónico)
Páginas
1-13
Tipo de artículo
Artículo original
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Abstract
Aims and method This systematic review examines the effectiveness and costeffectiveness of behavioural health integration into primary healthcare in the
management of depression and unhealthy alcohol use in low- and middle-income
countries. Following PRISMA guidelines, this review included research that studied
patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical
severity. An exploration of the models of integration was used to characterise a
typology of behavioural health integration specific for low- and middle-income
countries.
Results Fifty-eight articles met inclusion criteria. Studies evidenced increased
effectiveness of integrated care over treatment as usual for both conditions. The
economic evaluations found increased direct health costs but cost-effective
estimates. The included studies used six distinct behavioural health integration
models.
Clinical implications Behavioural health integration may yield improved health
outcomes, although it may require additional resources. The proposed typology can
assist decision-makers to advance the implementation of integrated models.
Fuente
BJPsych Bulletin; (2020)
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