title: [Cost-effectiveness in Dutch mental health care: future because of ROM?].
abstract: BACKGROUND
  The document reporting Dutch mental health care negotiations for 2014-2017 calls for a cost decrease based on cost-effectiveness. Thanks to ROM, the Dutch mental health care seems well prepared for cost-effectiveness research.
  
  
  OBJECTIVE
  Evaluate how valid cost-effectiveness research should be established in mental health care and the role of rom therein.
  
  
  METHODS
  Evaluation of requirements of cost-effectiveness research, trends, and a translation to Dutch mental health care.
  
  
  RESULTS
  Valid cost-effectiveness research in mental health care requires the application of a societal perspective, a long time-horizon and an adequate evaluation of quality of life of patients. Healthcare consumption, outcome of care and characterisation of the patient population should be measured systematically and continuously. Currently, rom-data are not suitable to serve as a basis for cost-effectiveness research, although a proper basis is present. Further development of rom could lead to a situation in which mental health care is purchased on the basis of cost-effectiveness. However, cost-effectiveness will only really be improved if quality of care is rewarded, rather than rewarding activities that are not always related to outcome of care.
  
  
  CONCLUSIONS
  Cost-effectiveness research in mental health care should focus on societal costs and benefits, quality of life and a long time-horizon. If developed further, rom has the potential to be a basis for cost-effectiveness research in the future.
authors.forename: M
authors.initials: M
authors.lastname: van Agthoven
authors.forename: A
authors.initials: A
authors.lastname: van der Kolk
authors.forename: H
authors.initials: H
authors.lastname: Knegtering
authors.forename: Ph A E G
authors.initials: PA
authors.lastname: Delespaul
authors.forename: J
authors.initials: J
authors.lastname: Arends
authors.forename: P P T
authors.initials: PP
authors.lastname: Jeurissen
authors.forename: P F M
authors.initials: PF
authors.lastname: Krabbe
authors.forename: R
authors.initials: R
authors.lastname: Huijsman
authors.forename: R
authors.initials: R
authors.lastname: Luijk
authors.forename: E
authors.initials: E
authors.lastname: De Beurs
authors.forename: L
authors.initials: L
authors.lastname: Hakkaart-Van Roijen
authors.forename: R
authors.initials: R
authors.lastname: Bruggeman
mesh_terms: D003362:Cost-Benefit Analysis; D006801:Humans; D008605:Mental Health Services / Q000191:economics* / Q000592:standards*; D009426:Netherlands; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011788:Quality of Life