The Inclusion of Spillover Effects in Economic Evaluation: A Public Health Economics Perspective
Reading the debate between Brouwer and McCabe about whether spillover costs and outcomes should be included in economic evaluation [1, 2], it strikes me that what is never discussed is the ‘opportunity cost’ of ‘not’ addressing demand side factors in health economics. The estimates of the cost of mental health problems among the UK workforce range from £74 billion to £99 billion per year to the economy, which is equivalent to four-fifths of the whole annual budget of the National Health Service (NHS) in England . It costs one and a half times more to treat the chronic health problems of a person who also has untreated depression than a patient without depression .
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No funding was received in relation to the writing of this letter.
Conflict of interest
Rhiannon Tudor Edwards has no conflicts of interest to declare.
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