PERCEIVED CLINICAL VALUE AND COST TRADE-OFF IN PSYCHOLOGY A REAL-WORLD ANALYSIS BASED ON PROMS, PREMS, AND COSTS
Author(s)
Felipe Ribeiro Cabral Fagundes, PhD1, Arthur Lorran Melo André da Silva, BSc2, Fernanda Franco Munari, MSc1, Talita Garcia do Nascimento Castro, PhD1, Lidiane de Olivera Rodrigues, BSc2, Moacyr Campos, MD1, Bruna Andrade Guedes, BSc1, Fernanda Vitoria Cruz Oliveira Taveira, BSc1, Mateus Frederico de Paula, MSc1, Taissa Targino Cruz, BSc3, Rebecca Rosal Pacheco Rosa, MSc3, Bruno Tirotti Saragiotto, PhD1, Giulia Xavier de Carvalho, MSc3, Lívia Loamí R. Paula, MSc, PhD1.
1Hi! Healthcare Intelligence, São José dos Campos, Brazil, 2SEST SENAT – Social Promotion Management, Brasilia, Brazil, 3SEST SENAT – Social Promotion Management, Brasília, Brazil.
1Hi! Healthcare Intelligence, São José dos Campos, Brazil, 2SEST SENAT – Social Promotion Management, Brasilia, Brazil, 3SEST SENAT – Social Promotion Management, Brasília, Brazil.
OBJECTIVES: To assess the value delivered by a psychology care pathway by integrating patient-reported outcomes (PROMs), patient-reported experience measures (PREMs), and direct care costs, exploring the trade-off between perceived benefit and economic efficiency in a real-world setting
METHODS: A retrospective real-world analysis was conducted using routinely collected data from May to July 2025 across multiple units. PROMs, PREMs, and cost data from the psychology care pathway were analyzed. An aggregated effectiveness score was constructed from patient-reported clinical outcomes and experience measures. Mean effectiveness, mean cost per patient, and cost per unit of effectiveness were calculated, and patients were classified using a value matrix. The sample included 233 patients
RESULTS: The psychology pathway showed a mean effectiveness score of 83.00, with a mean cost per patient of R$ 638.57, resulting in a cost of R$ 7.69 per unit of effectiveness. Relevant improvements were observed in emotional health, perceived improvement, and quality of life, with mean scores predominantly between 7 and 8 points. Patient experience measures were high, with satisfaction with results around 8.5 to 8.8 and a mean Net Promoter Score of 9.5. Most patients were positioned in the high-value quadrants of the value matrix, despite the higher cost associated with the care model
CONCLUSIONS: The psychology care pathway delivered high value from the patient perspective, with meaningful gains in emotional health, perceived improvement, and care experience. However, this performance was achieved at a higher cost per unit of benefit. These findings highlight a clear trade-off between perceived clinical value and cost-efficiency and reinforce the need for transparent prioritization and resource allocation criteria in value-based healthcare models
METHODS: A retrospective real-world analysis was conducted using routinely collected data from May to July 2025 across multiple units. PROMs, PREMs, and cost data from the psychology care pathway were analyzed. An aggregated effectiveness score was constructed from patient-reported clinical outcomes and experience measures. Mean effectiveness, mean cost per patient, and cost per unit of effectiveness were calculated, and patients were classified using a value matrix. The sample included 233 patients
RESULTS: The psychology pathway showed a mean effectiveness score of 83.00, with a mean cost per patient of R$ 638.57, resulting in a cost of R$ 7.69 per unit of effectiveness. Relevant improvements were observed in emotional health, perceived improvement, and quality of life, with mean scores predominantly between 7 and 8 points. Patient experience measures were high, with satisfaction with results around 8.5 to 8.8 and a mean Net Promoter Score of 9.5. Most patients were positioned in the high-value quadrants of the value matrix, despite the higher cost associated with the care model
CONCLUSIONS: The psychology care pathway delivered high value from the patient perspective, with meaningful gains in emotional health, perceived improvement, and care experience. However, this performance was achieved at a higher cost per unit of benefit. These findings highlight a clear trade-off between perceived clinical value and cost-efficiency and reinforce the need for transparent prioritization and resource allocation criteria in value-based healthcare models
Conference/Value in Health Info
2026-05, ISPOR 2026, Philadelphia, PA, USA
Value in Health, Volume 29, Issue S6
Code
RWD34
Topic
Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems
Disease
No Additional Disease & Conditions/Specialized Treatment Areas