XÂY DỰNG VÀ HIỆU CHỈNH CẤU TRÚC MÔ HÌNH ĐÁNH GIÁ CHI PHÍ – HIỆU QUẢ CỦA CHƯƠNG TRÌNH CAN THIỆP SỨC KHỎE TÂM THẦN VỊ THÀNH NIÊN TRONG TRƯỜNG HỌC TẠI VIỆT NAM

Abstract

Objective: To develop and validate the Markov model for an economic evaluation of a school-based mental health promotion and prevention intervention in Vietnam. Method: Using systematic review, literature reivew combined with in-depth interviews with experts in the fields of mental health, health economics, health sectors and education sector (10 in-depth interviews) and focus group discussion (one focus group discussion). Results: Based on a systematic review of similar international models and a review of other literature, all relevant Markov health states were listed. The states were then evaluated for inclusion/exclusion based on predefined criteria. The selected states were sorted into a sequence of events and diagrammed (Markov model). The in-depth interview results confirmed the representativeness and completeness of the selected Markov states; the clarity of the Markov state; the clinical relevance of the sequence of events; and the ability to reflect the final outcomes of the sequence of events. Conclusion: The proposed Markov model to evaluate the cost-effectiveness of a school-based mental health intervention program in Vietnam (RAP-V) has been evaluated as suitable for implementation.