Insomnia - treatment pathways, costs and quality of life

Table 1 Unit resource cost estimates in 2009 NZ dollars

Resource	Base case $	Year of data	Notes
Direct medical
General Practitioner	48.89	2009	(1)
Specialist Physician initial	222.22	2009	(1)
Specialist Physician follow up	99.56	2009	(1)
Psychologist	88.89	2009	(1)
Health Practitioner	120.00	2009	(1)
Alternative Health Practitioner	75.56	2008	(2)
Prescription medicine	6.42	2009	(3)
Non prescription medicine	16.00	2009	(4)
Increase in cost per capita for those with insomnia versus non-insomniacs	627.52	2008	(5)
Direct non-medical
Transport for treatment (round trip)	16.71	2009	(6)

Notes:
(1) Registered health care providers [40]. General Practitioner, medical practitioner band 1. Specialist Physician, medical practitioner band 2; high case (interviews). The medical fees do not include any government patient subsidy as this varies between providers and patients.
(2) Alternative Health Practitioner from Interviews
(3) Prescription medicine, Zopiclone, base case 7.5 mg @ 30 days plus dispensing fee, low case = base case × 0.5 plus dispensing fee, high case = two prescriptions plus 2 dispensing fees (Interviews) and dispensing fee [39], prices [33]
(4) Non prescription medicine (Interviews) and [34], low case = base case less 25%, high case = base case × 2
(5) See Table 3
(6) Transport for treatment: Cost per km × km travelled for round trip = $0.63/9 × 8 × 29.83 km = $16.71. [Cost per km $0.63/9 × 8: 1500-2000 cc petrol: [35]. Time to hospital (17.9 minutes): [36]. Distance for round trip (km): 17.9 minutes @ 50 km/hour × 2 = 29.83 km.]
Ranges: if not specifically stated ranges = base case plus or minus 25%
All costs have had GST of 12.5% deducted and calculations are based on unrounded data.

ISSN: 1478-7547