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. 2021 Aug;39(8):889-900.
doi: 10.1007/s40273-021-01049-y. Epub 2021 Jun 14.

Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

Irina Pokhilenko  1 , Luca M M Janssen  2 , Silvia M A A Evers  2   3 , Ruben M W A Drost  2 , Lena Schnitzler  2   4 , Aggie T G Paulus  2   5
Affiliations

Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

Irina Pokhilenko et al. Pharmacoeconomics. 2021 Aug.

Abstract

Background: Psychosocial (e.g., anxiety or behavior) problems lead to costs not only in the healthcare sector but also in education and other sectors. As psychosocial problems develop during the critical period of establishing educational trajectories, education costs are particularly relevant in the context of psychosocial problems among children and adolescents.

Objectives: This study aimed to gain insights into the methods used for the inclusion of education costs in health economics studies and into the proportion of the education costs in relation to the total costs associated with a condition or an intervention.

Methods: We systematically searched the PubMed, Embase, SSCI, CINAHL, PsycINFO, ERIC, and Econlit databases in August 2019 for economic evaluations of mental health, psychosocial and educational interventions, and cost-of-illness studies of mental, behavioral, and neurodevelopmental disorders conducted from a societal perspective in populations of children and adolescents. An additional search was conducted in February 2021 to update the review.

Results: In total, 49 articles were included in the analysis. The most common cost items were special education, school absenteeism, and various educational professionals (educational psychologist). A variety of methods were employed for the identification, measurement, and/or valuation of education costs. The proportion of education costs to the total costs of condition/intervention ranged from 0 to 67%, with the mean being 18.5%.

Discussion: Since education costs can constitute a significant proportion of the total costs of an intervention or condition, including them in health economics studies might be important in informing optimal resource allocation decisions. Although various methods are available for including education costs in health economics studies, further research is needed to develop evidence-based methods for producing comparable estimates.

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Conflict of interest statement

Irina Pokhilenko, Luca M. M. Janssen, Silvia M. A. A. Evers, Ruben M. W. A. Drost, Lena Schnitzler, and Aggie T. G. Paulus have no conflicts of interest that are directly relevant to the content of this article.

Figures

Fig. 1
Fig. 1
PRISMA flowchart of the literature search and selection
Fig. 2
Fig. 2
Methods used for the measurement of the education costs
Fig. 3
Fig. 3
Methods used for the valuation of the education costs
Fig. 4
Fig. 4
Relative proportion of the education costs in relation to the total costs (n = 72)
See this image and copyright information in PMC

References

    1. OECD, EU. Health at a glance: Europe 2018. 2018.
    1. Doran CM, Kinchin I. A review of the economic impact of mental illness. Aust Health Rev. 2019;43(1):43–48. doi: 10.1071/AH16115. - DOI - PubMed
    1. Vannieuwenborg L, Buntinx F, De Lepeleire J. Presenting prevalence and management of psychosocial problems in primary care in Flanders. Arch Public Health. 2015;73(1):1–6. doi: 10.1186/s13690-015-0061-4. - DOI - PMC - PubMed
    1. Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359. doi: 10.1097/YCO.0b013e32816ebc8c. - DOI - PMC - PubMed
    1. Beecham J. Annual research review: child and adolescent mental health interventions: a review of progress in economic studies across different disorders. J Child Psychol Psychiatry. 2014;55(6):714–732. doi: 10.1111/jcpp.12216. - DOI - PMC - PubMed

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