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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Aust+N+Z+J+Psychiatry 2020 ; 54 (12): 1157-1161 Nephropedia Template TP
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Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context? #MMPMID33008268
Mihalopoulos C; Chatterton ML; Engel L; Le LK; Lee YY
Aust N Z J Psychiatry 2020[Dec]; 54 (12): 1157-1161 PMID33008268show ga
COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.