Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial
Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression. To investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patient...
Gespeichert in:
| Veröffentlicht in: | BJPsych open Jg. 2; H. 4; S. 262 - 269 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Cambridge, UK
Cambridge University Press
01.07.2016
The Royal College of Psychiatrists |
| Schlagworte: | |
| ISSN: | 2056-4724, 2056-4724 |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression.
To investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patients with depression.
A prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10 scripted, theory-led, telephone encounters with health information advisers supported participants to effect a behaviour change, use online resources, optimise medication and improve adherence. The intervention was delivered alongside usual care and was designed to support rather than duplicate primary care. Cost-effectiveness from a combined health and social care perspective was measured by net monetary benefit at the end of 12 months of follow-up, calculated from incremental cost and incremental quality-adjusted life years (QALYs). Cost-consequence analysis included cost of lost productivity, participant out-of-pocket expenditure and the clinical outcome.
A total of 609 participants were randomised - 307 to receive the Healthlines intervention plus usual care and 302 to receive usual care alone. Forty-five per cent of participants had missing quality of life data, 41% had missing cost data and 51% of participants had missing data on either cost or utility, or both. Multiple imputation was used for the base-case analysis. The intervention was associated with incremental mean per-patient National Health Service/personal social services cost of £168 (95% CI £43 to £294) and an incremental QALY gain of 0.001 (95% CI -0.023 to 0.026). The incremental cost-effectiveness ratio was £132 630. Net monetary benefit at a cost-effectiveness threshold of £20 000 was -£143 (95% CI -£164 to -£122) and the probability of the intervention being cost-effective at this threshold value was 0.30. Productivity costs were higher in the intervention arm, but out-of-pocket expenses were lower.
The Healthlines service was acceptable to patients as a means of condition management, and response to treatment after 4 months was higher for participants randomised to the intervention. However, the positive average intervention effect size was modest, and incremental costs were high relative to a small incremental QALY gain at 12 months. The intervention is not likely to be cost-effective in its current form.
None.
© The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence. |
|---|---|
| AbstractList | Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression.
To investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patients with depression.
A prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10 scripted, theory-led, telephone encounters with health information advisers supported participants to effect a behaviour change, use online resources, optimise medication and improve adherence. The intervention was delivered alongside usual care and was designed to support rather than duplicate primary care. Cost-effectiveness from a combined health and social care perspective was measured by net monetary benefit at the end of 12 months of follow-up, calculated from incremental cost and incremental quality-adjusted life years (QALYs). Cost-consequence analysis included cost of lost productivity, participant out-of-pocket expenditure and the clinical outcome.
A total of 609 participants were randomised - 307 to receive the Healthlines intervention plus usual care and 302 to receive usual care alone. Forty-five per cent of participants had missing quality of life data, 41% had missing cost data and 51% of participants had missing data on either cost or utility, or both. Multiple imputation was used for the base-case analysis. The intervention was associated with incremental mean per-patient National Health Service/personal social services cost of £168 (95% CI £43 to £294) and an incremental QALY gain of 0.001 (95% CI -0.023 to 0.026). The incremental cost-effectiveness ratio was £132 630. Net monetary benefit at a cost-effectiveness threshold of £20 000 was -£143 (95% CI -£164 to -£122) and the probability of the intervention being cost-effective at this threshold value was 0.30. Productivity costs were higher in the intervention arm, but out-of-pocket expenses were lower.
The Healthlines service was acceptable to patients as a means of condition management, and response to treatment after 4 months was higher for participants randomised to the intervention. However, the positive average intervention effect size was modest, and incremental costs were high relative to a small incremental QALY gain at 12 months. The intervention is not likely to be cost-effective in its current form.
None.
© The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence. BackgroundDepression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression.AimsTo investigate the cost-effectiveness of a telehealth intervention (‘Healthlines’) for patients with depression.MethodA prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10 scripted, theory-led, telephone encounters with health information advisers supported participants to effect a behaviour change, use online resources, optimise medication and improve adherence. The intervention was delivered alongside usual care and was designed to support rather than duplicate primary care. Cost-effectiveness from a combined health and social care perspective was measured by net monetary benefit at the end of 12 months of follow-up, calculated from incremental cost and incremental quality-adjusted life years (QALYs). Cost–consequence analysis included cost of lost productivity, participant out-of-pocket expenditure and the clinical outcome.ResultsA total of 609 participants were randomised – 307 to receive the Healthlines intervention plus usual care and 302 to receive usual care alone. Forty-five per cent of participants had missing quality of life data, 41% had missing cost data and 51% of participants had missing data on either cost or utility, or both. Multiple imputation was used for the base-case analysis. The intervention was associated with incremental mean per-patient National Health Service/personal social services cost of £168 (95% CI £43 to £294) and an incremental QALY gain of 0.001 (95% CI –0.023 to 0.026). The incremental cost-effectiveness ratio was £132 630. Net monetary benefit at a cost-effectiveness threshold of £20 000 was –£143 (95% CI –£164 to –£122) and the probability of the intervention being cost-effective at this threshold value was 0.30. Productivity costs were higher in the intervention arm, but out-of-pocket expenses were lower.ConclusionsThe Healthlines service was acceptable to patients as a means of condition management, and response to treatment after 4 months was higher for participants randomised to the intervention. However, the positive average intervention effect size was modest, and incremental costs were high relative to a small incremental QALY gain at 12 months. The intervention is not likely to be cost-effective in its current form. Background Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression. Aims To investigate the cost-effectiveness of a telehealth intervention (‘Healthlines’) for patients with depression. Method A prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10 scripted, theory-led, telephone encounters with health information advisers supported participants to effect a behaviour change, use online resources, optimise medication and improve adherence. The intervention was delivered alongside usual care and was designed to support rather than duplicate primary care. Cost-effectiveness from a combined health and social care perspective was measured by net monetary benefit at the end of 12 months of follow-up, calculated from incremental cost and incremental quality-adjusted life years (QALYs). Cost–consequence analysis included cost of lost productivity, participant out-of-pocket expenditure and the clinical outcome. Results A total of 609 participants were randomised – 307 to receive the Healthlines intervention plus usual care and 302 to receive usual care alone. Forty-five per cent of participants had missing quality of life data, 41% had missing cost data and 51% of participants had missing data on either cost or utility, or both. Multiple imputation was used for the base-case analysis. The intervention was associated with incremental mean per-patient National Health Service/personal social services cost of £168 (95% CI £43 to £294) and an incremental QALY gain of 0.001 (95% CI −0.023 to 0.026). The incremental cost-effectiveness ratio was £132 630. Net monetary benefit at a cost-effectiveness threshold of £20 000 was –£143 (95% CI –£164 to –£122) and the probability of the intervention being cost-effective at this threshold value was 0.30. Productivity costs were higher in the intervention arm, but out-of-pocket expenses were lower. Conclusions The Healthlines service was acceptable to patients as a means of condition management, and response to treatment after 4 months was higher for participants randomised to the intervention. However, the positive average intervention effect size was modest, and incremental costs were high relative to a small incremental QALY gain at 12 months. The intervention is not likely to be cost-effective in its current form. BACKGROUNDDepression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the management of people with depression.AIMSTo investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patients with depression.METHODA prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10 scripted, theory-led, telephone encounters with health information advisers supported participants to effect a behaviour change, use online resources, optimise medication and improve adherence. The intervention was delivered alongside usual care and was designed to support rather than duplicate primary care. Cost-effectiveness from a combined health and social care perspective was measured by net monetary benefit at the end of 12 months of follow-up, calculated from incremental cost and incremental quality-adjusted life years (QALYs). Cost-consequence analysis included cost of lost productivity, participant out-of-pocket expenditure and the clinical outcome.RESULTSA total of 609 participants were randomised - 307 to receive the Healthlines intervention plus usual care and 302 to receive usual care alone. Forty-five per cent of participants had missing quality of life data, 41% had missing cost data and 51% of participants had missing data on either cost or utility, or both. Multiple imputation was used for the base-case analysis. The intervention was associated with incremental mean per-patient National Health Service/personal social services cost of £168 (95% CI £43 to £294) and an incremental QALY gain of 0.001 (95% CI -0.023 to 0.026). The incremental cost-effectiveness ratio was £132 630. Net monetary benefit at a cost-effectiveness threshold of £20 000 was -£143 (95% CI -£164 to -£122) and the probability of the intervention being cost-effective at this threshold value was 0.30. Productivity costs were higher in the intervention arm, but out-of-pocket expenses were lower.CONCLUSIONSThe Healthlines service was acceptable to patients as a means of condition management, and response to treatment after 4 months was higher for participants randomised to the intervention. However, the positive average intervention effect size was modest, and incremental costs were high relative to a small incremental QALY gain at 12 months. The intervention is not likely to be cost-effective in its current form.DECLARATION OF INTERESTNone.COPYRIGHT AND USAGE© The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence. |
| Author | Davies, Ben Edwards, Louisa Dixon, Padraig Gaunt, Daisy Montgomery, Alan A. Salisbury, Chris Foster, Alexis Hollinghurst, Sandra Thomas, Clare |
| Author_xml | – sequence: 1 givenname: Padraig surname: Dixon fullname: Dixon, Padraig email: Padraig.Dixon@bristol.ac.uk organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 2 givenname: Sandra surname: Hollinghurst fullname: Hollinghurst, Sandra organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 3 givenname: Louisa surname: Edwards fullname: Edwards, Louisa organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 4 givenname: Clare surname: Thomas fullname: Thomas, Clare organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 5 givenname: Alexis surname: Foster fullname: Foster, Alexis organization: Clinical Trials Research Unit, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK – sequence: 6 givenname: Ben surname: Davies fullname: Davies, Ben organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 7 givenname: Daisy surname: Gaunt fullname: Gaunt, Daisy organization: Bristol Randomised Trials Collaboration (BRTC), School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 8 givenname: Alan A. surname: Montgomery fullname: Montgomery, Alan A. organization: Bristol Randomised Trials Collaboration (BRTC), School of Social and Community Medicine, University of Bristol, Bristol, UK – sequence: 9 givenname: Chris surname: Salisbury fullname: Salisbury, Chris organization: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27703785$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kk1vEzEQhleoiJbSP8ABWeLCJcH2-mOXAxKKWlqpEhc4W971OHHk2IvtBPj3OE0KbQ89eWb8vo9GM_O6OQkxQNO8JXhOSE8_DuspzoepJmKOMe2xfNGcUczFjEnKTh7Ep81FzmuMMeGSyY69ak6plLiVHT9rfi9iLjOwFsbidhAgZxQtKuBhBdqXFbIxoUkXB6Fk9MvVioEpVZ2L4ROCnTMQRkA2xQ0qK0DXdzbvKgolHUzcuAwGjTGUFL2vYUlO-zfNS6t9hovje978uLr8vrie3X77erP4cjsbOSNlpkdhMBHacj6YkdGhJxz3FISxlJKOALe2453pjehBt4yIVhsptSEgCaG6PW9uDlwT9VpNyW10-qOiduquENNS6VTc6EERyo1gejDCcAaUaU0kMVay2gLr2z3r84E1bYcNmLGOJGn_CPr4J7iVWsadYn3PiZQV8OEISPHnFnJRdTgjeK8DxG1WpGt5y4UgrErfP5Gu4zaFOipFKRaciZ7hqnr3sKN_rdwvuAq6g2BMMecEVo2u1G3ut6GdVwSr_Tmp_TmpYaqJUIdzqlb6xHpPf9bEjia9GZIzS_jf9zO2v1P24w8 |
| CitedBy_id | crossref_primary_10_56294_saludcyt20251700 crossref_primary_10_2196_38204 crossref_primary_10_1186_s12913_024_12066_w crossref_primary_10_1186_s13063_019_3580_4 crossref_primary_10_1186_s13561_020_00288_7 crossref_primary_10_1007_s41669_019_00188_5 crossref_primary_10_1089_tmj_2019_0179 crossref_primary_10_1080_20476965_2019_1589390 crossref_primary_10_1007_s11482_018_9654_8 crossref_primary_10_1136_bmjopen_2016_014616 crossref_primary_10_1080_19371918_2022_2053631 crossref_primary_10_1038_s41598_018_21243_x crossref_primary_10_1089_tmj_2022_0016 crossref_primary_10_3171_2018_2_FOCUS17543 crossref_primary_10_1016_j_hlpt_2019_12_003 crossref_primary_10_1136_bmjopen_2018_024546 crossref_primary_10_2196_67567 |
| Cites_doi | 10.1136/bmjopen-2014-006448 10.1007/s11136-011-9903-x 10.1136/bmj.f4913 10.1371/journal.pone.0104225 10.2165/00019053-200017050-00006 10.1046/j.1525-1497.2001.016009606.x 10.1002/sim.4067 10.1002/9780470316696 10.1017/S1121189X00001421 10.1192/bjp.bp.113.136036 10.1016/S2215-0366(16)00083-3 10.1016/j.jval.2015.07.009 10.1007/s40273-014-0193-3 10.1136/bmj.f1049 10.1136/bmj.b750 10.18637/jss.v045.i04 10.1016/j.ypmed.2014.04.001 10.2196/jmir.3257 10.1016/j.genhosppsych.2007.06.004 10.1186/s13012-015-0238-9 10.1089/tmj.2013.0259 10.3310/hta18340 10.1111/j.1600-0447.2009.01519.x 10.1016/j.psc.2011.11.005 10.1002/hec.944 10.1017/S0033291715001427 10.1186/1745-6215-15-36 |
| ContentType | Journal Article |
| Copyright | Copyright © The Royal College of Psychiatrists 2016 2016 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2016 The Royal College of Psychiatrists 2016 The Royal College of Psychiatrists |
| Copyright_xml | – notice: Copyright © The Royal College of Psychiatrists 2016 – notice: 2016 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2016 The Royal College of Psychiatrists 2016 The Royal College of Psychiatrists |
| DBID | IKXGN AAYXX CITATION NPM 3V. 7XB 88G 8FI 8FJ 8FK ABUWG AEUYN AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH GNUQQ M2M PHGZM PHGZT PIMPY PKEHL PQEST PQQKQ PQUKI PRINS PSYQQ Q9U 7X8 5PM DOA |
| DOI | 10.1192/bjpo.bp.116.002907 |
| DatabaseName | Cambridge University Press Wholly Gold Open Access Journals CrossRef PubMed ProQuest Central (Corporate) ProQuest Central (purchase pre-March 2016) Psychology Database (Alumni) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Psychology Database ProQuest Central Premium ProQuest One Academic Publicly Available Content Database ProQuest One Academic Middle East (New) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China ProQuest One Psychology ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Open Access Full Text |
| DatabaseTitle | CrossRef PubMed Publicly Available Content Database ProQuest One Psychology ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Basic ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Psychology Journals (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest One Sustainability Health Research Premium Collection ProQuest Psychology Journals ProQuest One Academic UKI Edition ProQuest Central Korea ProQuest Central (New) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | PubMed Publicly Available Content Database MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: IKXGN name: Cambridge University Press Wholly Gold Open Access Journals url: http://journals.cambridge.org/action/login sourceTypes: Publisher – sequence: 4 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitleAlternate | Dixon et al Cost-Effectiveness of Telehealth in Depression Cost-effectiveness of telehealth in depression |
| EISSN | 2056-4724 |
| EndPage | 269 |
| ExternalDocumentID | oai_doaj_org_article_125d64abd6d54e24aa171df746d0493a PMC4995177 27703785 10_1192_bjpo_bp_116_002907 |
| Genre | Journal Article |
| GrantInformation_xml | – fundername: Department of Health grantid: RP-PG-0108-10011 |
| GroupedDBID | 09C 09E 0R~ 53G 5VS 8FI 8FJ AABWE AAFWJ AAGFV AANRG AASVR ABBZL ABDBF ABUWG ABVKB ABXAU ACAJB ACDLN ACUIJ ACZWT ADAZD ADBBV ADDNB ADKIL ADOVH ADOVT ADRAZ ADVJH AEBAK AEHGV AENCP AEYHU AFKQG AFKRA AFLVW AFPKN AFZFC AGABE AGJUD AHIPN AHQXX AHRGI AIHIV AIOIP AJAHB AJCYY AKZCZ ALIPV ALMA_UNASSIGNED_HOLDINGS ANPSP AOIJS AQJOH ARZZG AYIQA AZQEC BBLKV BCGOX BCNDV BENPR BESQT BJBOZ BLZWO BPHCQ BVXVI CCPQU CCQAD CCUQV CFBFF CGQII CJCSC DOHLZ DWQXO EBS EGQIC EJD FRP FYUFA GNUQQ GROUPED_DOAJ H13 HYE IKXGN IOO IPYYG JHPGK JVRFK KCGVB KFECR KQ8 M2M M48 M~E NIKVX NZEOI OK1 PIMPY PQQKQ PROAC PSYQQ RCA RHI ROL RPM T9M UKHRP WFFJZ ZDLDU ZJOSE ZMEZD AAXMD AAYXX ABGDZ ABXHF AFFHD AKMAY CITATION PHGZM PHGZT NPM 3V. 7XB 8FK AEUYN PKEHL PQEST PQUKI PRINS Q9U 7X8 5PM |
| ID | FETCH-LOGICAL-c541t-ac6d016af55bdc42b915092e6df22181e5ff858d9d69ea34163ad77ad1e7112a3 |
| IEDL.DBID | DOA |
| ISICitedReferencesCount | 19 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000408512600005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2056-4724 |
| IngestDate | Fri Oct 03 12:40:38 EDT 2025 Tue Nov 04 02:02:21 EST 2025 Sun Nov 09 10:01:52 EST 2025 Mon Oct 20 02:59:43 EDT 2025 Mon Jul 21 06:01:37 EDT 2025 Sat Nov 29 03:57:29 EST 2025 Tue Nov 18 22:37:48 EST 2025 Tue Jan 21 06:29:18 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Language | English |
| License | This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence (http://creativecommons.org/licenses/by/4.0/). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c541t-ac6d016af55bdc42b915092e6df22181e5ff858d9d69ea34163ad77ad1e7112a3 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://doaj.org/article/125d64abd6d54e24aa171df746d0493a |
| PMID | 27703785 |
| PQID | 2206546940 |
| PQPubID | 3962591 |
| PageCount | 8 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_125d64abd6d54e24aa171df746d0493a pubmedcentral_primary_oai_pubmedcentral_nih_gov_4995177 proquest_miscellaneous_1835356614 proquest_journals_2206546940 pubmed_primary_27703785 crossref_citationtrail_10_1192_bjpo_bp_116_002907 crossref_primary_10_1192_bjpo_bp_116_002907 cambridge_journals_10_1192_bjpo_bp_116_002907 |
| PublicationCentury | 2000 |
| PublicationDate | 2016-07-01 |
| PublicationDateYYYYMMDD | 2016-07-01 |
| PublicationDate_xml | – month: 07 year: 2016 text: 2016-07-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Cambridge, UK |
| PublicationPlace_xml | – name: Cambridge, UK – name: England – name: London |
| PublicationTitle | BJPsych open |
| PublicationTitleAlternate | BJPsych open |
| PublicationYear | 2016 |
| Publisher | Cambridge University Press The Royal College of Psychiatrists |
| Publisher_xml | – name: Cambridge University Press – name: The Royal College of Psychiatrists |
| References | Vassilev, Rowsell, Pope, Kennedy, O'Cathain, Salisbury (6) 2015; 10 Manca, Hawkins, Sculpher (32) 2005; 14 Green, Richards, Hill, Gask, Lovell, Chew-Graham (40) 2014; 9 Salisbury, Thomas, O'Cathain, Rogers, Pope, Yardley (11) 2015; 5 Husereau, Drummond, Petrou, Carswell, Moher, Greenberg (39) 2013; 346 Mihalopoulos, Chen, Iezzi, Khan, Richardson (20) 2014; 205 White, Royston, Wood (27) 2011; 30 Mistry, Garnvwa, Oppong (37) 2014; 20 Briggs (34) 2000; 17 Hardeveld, Spijker, De Graaf, Nolen, Beekman (3) 2010; 122 Donker, Blankers, Hedman, Ljotsson, Petrie, Christensen (38) 2015; 45 Herdman, Gudex, Lloyd, Janssen, Kind, Parkin (19) 2011; 20 Royston, White (26) 2011; 45 Kessler, Aguilar-Gaxiola, Alonso, Chatterji, Lee, Ormel (2) 2009; 18 Brazier, Connell, Papaioannou, Mukuria, Mulhern, Peasgood (21) 2014; 18 Wittkampf, Naeije, Schene, Huyser, van Weert (8) 2007; 29 Kroenke, Spitzer, Williams (10) 2001; 16 Kendrick, Dowrick, McBride, Howe, Clarke, Maisey (9) 2009; 338 Thomas, Man, O'Cathain, Hollinghurst, Large, Edwards (12) 2014; 15 Faria, Gomes, Epstein, White (30) 2014; 32 Kessler (4) 2012; 35 Salisbury, O'Cathain, Edwards, Thomas, Gaunt, Hollinghurst (14) 2016; 3 Richards, Hill, Gask, Lovell, Chew-Graham, Bower (41) 2013; 347 Brilleman, Metcalfe, Peters, Hollingworth (42) 2016; 19 Edwards, Thomas, Gregory, Yardley, O'Cathain, Montgomery (18) 2014; 16 Segar, Rogers, Salisbury, Thomas (17) 2013; 21 Merriel, Andrews, Salisbury (16) 2014; 64 S2056472400001484_ref41 S2056472400001484_ref40 Curtis (S2056472400001484_ref22) 2013 (S2056472400001484_ref5) 2006 S2056472400001484_ref7 S2056472400001484_ref27 S2056472400001484_ref6 S2056472400001484_ref26 S2056472400001484_ref9 (S2056472400001484_ref1) 2012 S2056472400001484_ref8 Gray (S2056472400001484_ref35) 2010 S2056472400001484_ref2 S2056472400001484_ref21 S2056472400001484_ref20 S2056472400001484_ref42 S2056472400001484_ref4 (S2056472400001484_ref24) 2014 Drummond (S2056472400001484_ref33) 2015 S2056472400001484_ref28 S2056472400001484_ref30 S2056472400001484_ref38 S2056472400001484_ref16 (S2056472400001484_ref25) 2013 S2056472400001484_ref15 S2056472400001484_ref37 S2056472400001484_ref13 S2056472400001484_ref34 S2056472400001484_ref12 S2056472400001484_ref11 S2056472400001484_ref32 Hardeveld (S2056472400001484_ref3) 2010; 122 S2056472400001484_ref10 S2056472400001484_ref31 Williams (S2056472400001484_ref36) 2009 (S2056472400001484_ref23) 2013 S2056472400001484_ref19 S2056472400001484_ref18 S2056472400001484_ref39 Glick (S2056472400001484_ref29) 2007 Salisbury (S2056472400001484_ref14) 2016; 3 Segar (S2056472400001484_ref17) 2013; 21 |
| References_xml | – volume: 347 start-page: f4913 year: 2013 ident: 41 article-title: Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial publication-title: BMJ – volume: 32 year: 2014 ident: 30 article-title: A guide to handling missing data in cost-effectiveness analysis conducted within randomised controlled trials publication-title: Pharmacoeconomics – volume: 346 start-page: f1049 year: 2013 ident: 39 article-title: Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement publication-title: BMJ – volume: 338 start-page: b750 year: 2009 ident: 9 article-title: Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data publication-title: BMJ – volume: 122 year: 2010 ident: 3 article-title: Prevalence and predictors of recurrence of major depressive disorder in the adult population publication-title: Acta Psychiatr Scand – volume: 20 year: 2011 ident: 19 article-title: Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) publication-title: Qual Life Res – volume: 64 start-page: 88 year: 2014 end-page: 95 ident: 16 article-title: Telehealth interventions for primary prevention of cardiovascular disease: a systematic review and meta-analysis publication-title: Prev Med – volume: 15 start-page: 36 year: 2014 ident: 12 article-title: Effectiveness and cost-effectiveness of a telehealth intervention to support the management of long-term conditions: study protocol for two linked randomized controlled trials publication-title: Trials – volume: 205 year: 2014 ident: 20 article-title: Assessing outcomes for cost-utility analysis in depression: comparison of five multi-attribute utility instruments with two depression-specific outcome measures publication-title: Br J Psychiatry – volume: 5 start-page: e006448 year: 2015 ident: 11 article-title: TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation publication-title: BMJ Open – volume: 19 start-page: 99 year: 2016 end-page: 108 ident: 42 article-title: The reporting of treatment nonadherence and its associated impact on economic evaluations conducted alongside randomized trials: a systematic review publication-title: Value Health – volume: 45 start-page: 1 year: 2011 end-page: 20 ident: 26 article-title: Multiple Imputation by Chained Equations (MICE): implementation in Stata publication-title: J Stat Softw – volume: 35 start-page: 1 year: 2012 end-page: 14 ident: 4 article-title: The costs of depression publication-title: Psychiatr Clin North Am – volume: 16 start-page: e123 year: 2014 ident: 18 article-title: Are people with chronic diseases interested in using telehealth? A cross-sectional postal survey publication-title: J Med Internet Res – volume: 16 year: 2001 ident: 10 article-title: The PHQ-9 publication-title: J Gen Intern Med – volume: 21 year: 2013 ident: 17 article-title: Roles and identities in transition: boundaries of work and inter-professional relationships at the interface between telehealth and primary care publication-title: Health Soc Care Community – volume: 17 start-page: 479 year: 2000 end-page: 500 ident: 34 article-title: Handling uncertainty in cost-effectiveness models publication-title: Pharmacoeconomics – volume: 3 year: 2016 ident: 14 article-title: Effectiveness of an integrated telehealth service for patients with depression: a pragmatic randomised controlled trial of a complex intervention publication-title: Lancet Psychiatry – volume: 14 year: 2005 ident: 32 article-title: Estimating mean QALYs in trial-based cost-effectiveness analysis: the importance of controlling for baseline utility publication-title: Health Econ – volume: 18 issue: 34 year: 2014 ident: 21 article-title: A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures publication-title: Health Technol Assess – volume: 20 year: 2014 ident: 37 article-title: Critical appraisal of published systematic reviews assessing the cost-effectiveness of telemedicine studies publication-title: Telemed J E Health – volume: 29 year: 2007 ident: 8 article-title: Diagnostic accuracy of the mood module of the Patient Health Questionnaire: a systematic review publication-title: Gen Hosp Psychiatry – volume: 18 start-page: 23 year: 2009 end-page: 33 ident: 2 article-title: The global burden of mental disorders: an update from the WHO World Mental Health (WMH) Surveys publication-title: Epidemiol Psichiatr Soc – volume: 9 start-page: e104225 year: 2014 ident: 40 article-title: Cost-effectiveness of collaborative care for depression in UK primary care: economic evaluation of a randomised controlled trial (CADET) publication-title: PLoS One – volume: 10 start-page: 59 year: 2015 ident: 6 article-title: Assessing the implementability of telehealth interventions for self-management support: a realist review publication-title: Implement Sci – volume: 45 year: 2015 ident: 38 article-title: Economic evaluations of Internet interventions for mental health: a systematic review publication-title: Psychol Med – volume: 30 year: 2011 ident: 27 article-title: Multiple imputation using chained equations: issues and guidance for practice publication-title: Stat Med – volume-title: Annual Survey of Hours and Earnings, 2013 Provisional Results. year: 2013 ident: S2056472400001484_ref25 – ident: S2056472400001484_ref11 doi: 10.1136/bmjopen-2014-006448 – volume-title: Methods for the Economic Evaluation of Health Care Programmes. year: 2015 ident: S2056472400001484_ref33 – ident: S2056472400001484_ref19 doi: 10.1007/s11136-011-9903-x – ident: S2056472400001484_ref41 doi: 10.1136/bmj.f4913 – ident: S2056472400001484_ref40 doi: 10.1371/journal.pone.0104225 – ident: S2056472400001484_ref34 doi: 10.2165/00019053-200017050-00006 – ident: S2056472400001484_ref10 doi: 10.1046/j.1525-1497.2001.016009606.x – volume-title: Prescription Cost Analysis: England 2013 year: 2014 ident: S2056472400001484_ref24 – ident: S2056472400001484_ref27 doi: 10.1002/sim.4067 – ident: S2056472400001484_ref31 doi: 10.1002/9780470316696 – volume-title: Reference Costs 2012/13. year: 2013 ident: S2056472400001484_ref23 – ident: S2056472400001484_ref2 doi: 10.1017/S1121189X00001421 – ident: S2056472400001484_ref20 doi: 10.1192/bjp.bp.113.136036 – volume: 3 year: 2016 ident: S2056472400001484_ref14 article-title: Effectiveness of an integrated telehealth service for patients with depression: a pragmatic randomised controlled trial of a complex intervention publication-title: Lancet Psychiatry doi: 10.1016/S2215-0366(16)00083-3 – ident: S2056472400001484_ref42 doi: 10.1016/j.jval.2015.07.009 – ident: S2056472400001484_ref30 doi: 10.1007/s40273-014-0193-3 – volume-title: Overcoming Depression and Low Mood: A Five Areas Approach. year: 2009 ident: S2056472400001484_ref36 – ident: S2056472400001484_ref39 doi: 10.1136/bmj.f1049 – ident: S2056472400001484_ref7 – ident: S2056472400001484_ref9 doi: 10.1136/bmj.b750 – ident: S2056472400001484_ref26 doi: 10.18637/jss.v045.i04 – ident: S2056472400001484_ref16 doi: 10.1016/j.ypmed.2014.04.001 – ident: S2056472400001484_ref28 – volume-title: Unit Costs of Health and Social Care 2013. year: 2013 ident: S2056472400001484_ref22 – ident: S2056472400001484_ref18 doi: 10.2196/jmir.3257 – ident: S2056472400001484_ref8 doi: 10.1016/j.genhosppsych.2007.06.004 – ident: S2056472400001484_ref6 doi: 10.1186/s13012-015-0238-9 – volume-title: Applied Methods of Cost-effectiveness Analysis in Healthcare. year: 2010 ident: S2056472400001484_ref35 – ident: S2056472400001484_ref37 doi: 10.1089/tmj.2013.0259 – volume-title: Long Term Conditions Compendium of Information. year: 2012 ident: S2056472400001484_ref1 – ident: S2056472400001484_ref13 – ident: S2056472400001484_ref21 doi: 10.3310/hta18340 – volume: 122 year: 2010 ident: S2056472400001484_ref3 article-title: Prevalence and predictors of recurrence of major depressive disorder in the adult population publication-title: Acta Psychiatr Scand doi: 10.1111/j.1600-0447.2009.01519.x – volume-title: The Depression Report: A New Deal for Depression and Anxiety Disorders. year: 2006 ident: S2056472400001484_ref5 – volume: 21 year: 2013 ident: S2056472400001484_ref17 article-title: Roles and identities in transition: boundaries of work and inter-professional relationships at the interface between telehealth and primary care publication-title: Health Soc Care Community – ident: S2056472400001484_ref4 doi: 10.1016/j.psc.2011.11.005 – ident: S2056472400001484_ref15 – ident: S2056472400001484_ref32 doi: 10.1002/hec.944 – ident: S2056472400001484_ref38 doi: 10.1017/S0033291715001427 – ident: S2056472400001484_ref12 doi: 10.1186/1745-6215-15-36 – volume-title: Economic Evaluation in Clinical Trials. year: 2007 ident: S2056472400001484_ref29 |
| SSID | ssj0001574784 |
| Score | 2.1109452 |
| Snippet | Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting the... BackgroundDepression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of... BACKGROUNDDepression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of... Background Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of... |
| SourceID | doaj pubmedcentral proquest pubmed crossref cambridge |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 262 |
| SubjectTerms | Cost analysis Intervention Mental depression Patients Primary care Quality of life Social services Telemedicine |
| SummonAdditionalLinks | – databaseName: Cambridge University Press Wholly Gold Open Access Journals dbid: IKXGN link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3Ni9UwEA_rrgcvfuBX11UieJNam4-m8aaLqyI8BBXeraRJim9Z2vLaFf_8nUnTPp_IggdvbdNCMzPJ_JLM_IaQF9x6XloJaxMPU6DIDU-Ny2UqdGOkLx3z3IZiE2q1Ktdr_eWArOdcGAyrXDgOwkl-qI_WT_Sn2cZNMTR-m31l4LuFwhhIxPmlyHDTMosqqKLgb5AjQDAMhuzRp8_rD6vd_otE5ngx59FoltXnffeq7uEGzyeYxgqzO76FPb8V6P3_hkn_DK38zVed3fl_vbxLbkf8St9OT-6RA9_eJ79Ou2FMp9CQOHvSrqEjuLQpz5ICNKaRwnWguPdLlxDc9g31sbQpxWQXCpCUTtlRCIEHCt7UdWCO3tEYWH8Bl6HcyAPy_ez9t9OPaSzpkFop8jE1tnAAMk0jZe2sYLUGQKqZL1zDEGx42TSlLJ12hfaGI1o0TikwH68AGRr-kBy2XesfE8qchxnDMlFajqRd2ksBw0JaldsGUEhC0kXEVZTXUIU1j2YVKruqe7jBsD5UdkLyWcGVjfzoWKbj4tpvXi7f9BM7yLVvv0O7Wd5EZu_wAAxg1mQFgNMVwtSucNAfJozJVe4aJUBwQnOTkJPZ6na9YixUtdfidUKeL82gGTz9Ma3vLqHngLW5RDiWkEeTkS5_whRM_AplpvbMd-9X91vazY9ARg4rZpkrdfyP0n5CbgH0LKbA5xNyOG4v_VNy0_4cN8P2WRysV9J-Vdk priority: 102 providerName: Cambridge University Press – databaseName: AUTh Library subscriptions: ProQuest Central dbid: BENPR link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwEB5By4FLAfEKFGQkbiiU-BHHvVS0asVpVSGQeosc24GiKkk3adWfz0zizbII7YVbnpLt-Tz-bI-_AXgvXBCFUzg3CegCZWZFan2mUmlqq0LheRBuTDahF4vi4sKcxwW3PoZVrnzi6Kh962iN_IDzMXG3kZ-OuuuUskbR7mpMoXEfdkmpDHG-e3y6OP-6XmVRpA8vV6dlDD-ofnXtx6rDG9qF4IbyyK5VFTZGp1HE_1_M8-8Ayj9GpLNH_1uXx7AXuSj7PIHnCdwLzVO4O2n7IZ3CPKInZG3NBhyepjOTDGkui3KsPaN1XDaH0zaHLMQ0pYwOrjCkl2w66UR0tmc4MvoWoRU8i0HyV3g5pg55Bt_PTr-dfEljeobUKZkNqXW5R8Joa6Uq7ySvDJJLw0Pua07EIai6LlThjc9NsIKYn_VaIxSCRpZnxXPYadomvATGfcDe77gsnCABLhOURIgrpzNXI6NIIJ1NVMZO1pfj_MXwkkxaVh3eUIgemTSBbGXG0kWtc0q5cbX1nw_zP92k9LH162NCx_wlqXSPD9rljzJ2-hLJo8-lrXzusT5cWpvpzNdaYsNJI2wC-yt8rGu1BkcC7-bXaBnaybFNaG-w5sibhSJqlcCLCYpzSbhGJ66pzfQGSDeKuvmmufw5Covj7FdlWr_aXqzX8BBZYz7FLO_DzrC8CW_ggbsdLvvl29gDfwOlJT7Q priority: 102 providerName: ProQuest |
| Title | Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial |
| URI | https://www.cambridge.org/core/product/identifier/S2056472400001484/type/journal_article https://www.ncbi.nlm.nih.gov/pubmed/27703785 https://www.proquest.com/docview/2206546940 https://www.proquest.com/docview/1835356614 https://pubmed.ncbi.nlm.nih.gov/PMC4995177 https://doaj.org/article/125d64abd6d54e24aa171df746d0493a |
| Volume | 2 |
| WOSCitedRecordID | wos000408512600005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAEN databaseName: Cambridge University Press Wholly Gold Open Access Journals customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: IKXGN dateStart: 20150601 isFulltext: true titleUrlDefault: http://journals.cambridge.org/action/login providerName: Cambridge University Press – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: DOA dateStart: 20150101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: M~E dateStart: 20150101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: BENPR dateStart: 20150601 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Psychology Database customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: M2M dateStart: 20150601 isFulltext: true titleUrlDefault: https://www.proquest.com/psychology providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 2056-4724 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001574784 issn: 2056-4724 databaseCode: PIMPY dateStart: 20150601 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELagcOCCQLwCZWUkbii08SOOudGqhQrtaoVAWk6RYzuiqEpWTYr4-czY3nQXoXLhlokTyfaMPZ-TmW8Iec2t55WVcDbxsAWKwvDcuELmQrdG-soxz20oNqEWi2q10sutUl8YExbpgePEHYADdqUwjSudFJ4JYwpVuFaJ0gG45QEaHSq9dZiK-cHICy82WTKaHTQ_1v3bZg0C_n1gGuvHXrMp7HilQN7_N8T5Z-Dklic6fUDuJwhJ38euPyS3fPeI_DruhzGP0RlpA6N9S0fwKjHVkQI6pYlFdaD4-ZVOUbDdO-pTdVGK-SYUUCGNCUqIQgcKDs31YBHe0RTbfgGXoeLHY_L19OTL8cc8VVXIrRTFmBsLM1eUppWycVawRgMm1MyXrmXo771s20pWTrtSe8MRsBmnFGjQKwBnhj8he13f-WeEMudh0VomKsuRN0t7UJFx0qrCtgAEMpJPM1yntTHU4dihWY0aqZs1CBhZhxrJSLHRQm0TRTlWyri48Z030zvrSNBx49NHqNzpSSTXDjfA5OpkcvW_TC4j-xvTuB4VY6GwvBaHGXk1NYNm8AeM6Xx_BSMHuMslIqKMPI2WNPWEKdh7Fc6Z2rGxna7utnTn3wMfOBxaZaHU8_8xthfkHkDCMgYk75O98fLKvyR37c_xfLickdtqVc3InaOTxfLzLCw5kM4-rT4sQJqzOUjLs_ny229SSTZC |
| linkProvider | Directory of Open Access Journals |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Jb9QwFH4qUyS4sIhtoICR4IRCiWPHMRJCUKg6ajuaQ5HKKTi2A0VVMkxSlj_Fb-S9bMMgNLceuGWXn_OW79lvAXgcWR8lVqJv4lEFitBEgXGhDITOjfSJ4z6yTbMJNZ0mx8d6tgG_-lwYCqvsdWKjqF1paY18m_OmcbcWz1_NvwbUNYp2V_sWGi1b7Puf39Flq15O3uL_fcL57rujnb2g6yoQWCnCOjA2dohzTC5l5qzgmUZMpLmPXc7J3nmZ54lMnHax9iYiwGKcUkiBVwhOTITfvQCbgph9BJuzyeHsw3JVR1I9etFn52i-nX2Zl8-yOZ7QrgfX1Ld2WcVhxRo2TQP-hXT_Dtj8wwLuXv3f5u4aXOmwNnvdCsd12PDFDfixU1Z10IaxdJqelTmr0fy2OaEMYTzrys1WjNap2RAuXLxgvmvDyigxhyF8Zm0mF8H1iqHldyWKjnesSwI4xcOmNcpNeH8uxN6CUVEW_g4w7jxqN8tFYiMqMKa9FCjC0qrQ5oiYxhAMLJF2SqRKG_9M85RYKM3meEIhiMRCYwh7tkltV8udWoqcrn3n6fDOvK1ksvbpN8SNw5NUhby5UC4-pZ1SSxEcu1iYzMUO6eHCmFCFLlcCJ07oyIxhq-fHJVVLZhzDo-E2_hnaqTKFL8-QcvQLIknQcQy3W9YfRsIVGilFc6ZWhGJlqKt3ipPPTeF09O5lqNTd9cN6CJf2jg4P0oPJdP8eXEaEHLfx2Vswqhdn_j5ctN_qk2rxoJN-Bh_PW2h-A9xfnBo |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Jb9QwFH4qBaFeWMQ2UMBIcEJhGseOYySEoGVEVRj1AFJvwbEdaFUlYZKy_DV-He9lGwahufXALbv8nLd8z34LwOPI-iixEn0TjypQhCYKjAtlIHRupE8c95Ftm02o-Tw5OtKHG_BryIWhsMpBJ7aK2pWW1sinnLeNu7XYmeZ9WMTh3uxl9TWgDlK00zq00-hY5MD__I7uW_1ifw__9RPOZ28-7L4N-g4DgZUibAJjY4eYx-RSZs4KnmnER5r72OWcbJ-XeZ7IxGkXa28iAi_GKYXUeIVAxUT43QtwUQnEHRQ2yN8v13ckVaYXQ56O5tPspCqfZRWe0P4H19TBdlnPYcUutu0D_oV5_w7d_MMWzq7-z7N4Da70CJy96kTmOmz44gb82C3rJuiCW3r9z8qcNWiUu0xRhuCe9UVoa0ar12wMIi6eM983Z2WUrsMQVLMuv4tAfM0QD7gSBco71qcGnOJh2zDlJnw8F2JvwWZRFv4OMO486jzLRWIjKjumvRQo2NKq0OaIoyYQjOyR9qqlTluvTfOU2CnNKjyhwERipwmEAwultq_wTo1GTte-83R8p-rqm6x9-jVx5vgk1SZvL5SLz2mv6lKEzC4WJnOxQ3q4MCZUocuVwIkTOjIT2B54c0nVkjEn8Gi8jX-G9q9M4cszpBy9hUgSoJzA7U4MxpFwhaZL0ZypFQFZGerqneL4S1tOHX1-GSp1d_2wHsJllJT03f784B5sIWyOu6DtbdhsFmf-Plyy35rjevGgVQMMPp23xPwGgsOjTg |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Cost-effectiveness+of+telehealth+for+patients+with+depression%3A+evidence+from+the+Healthlines+randomised+controlled+trial&rft.jtitle=BJPsych+open&rft.au=Padraig+Dixon&rft.au=Sandra+Hollinghurst&rft.au=Louisa+Edwards&rft.au=Clare+Thomas&rft.date=2016-07-01&rft.pub=Cambridge+University+Press&rft.eissn=2056-4724&rft.volume=2&rft.spage=262&rft.epage=269&rft_id=info:doi/10.1192%2Fbjpo.bp.116.002907&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_125d64abd6d54e24aa171df746d0493a |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2056-4724&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2056-4724&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2056-4724&client=summon |