Table 25:

Budget Impact Analysis of Adopting rTMS in Current and Future rTMS Clinics in Ontario

Scenarios	Year 1 ($)	Year 2 ($)	Year 3 ($)	Year 4 ($)	Year 5 ($)	Total ($)
Current scenario	0	0	0	0	0	0
Costs specific to new scenarios
Long treatments (high-frequency rTMS)a	0.63	0.63	0.63	0.63	0.63	3.15
Brief treatments (iTBS) in reference caseb	8.58	10.19	12.88	12.88	15.02	59.56
Brief treatments (iTBS) in scenario analysis	8.58	12.88	15.56	16.10	18.24	71.36
Training costs	0.09	0.09	0.10	0.10	0.11	0.49
Total costs (new scenario) in reference case analysisc	9.30	10.92	13.60	13.61	15.76	63.20
Total costs (new scenario) in scenario analysisc	9.30	13.60	16.29	16.83	18.98	75.01
Budget impact in reference cased	9.30	10.92	13.60	13.61	15.76	63.20
Budget impact in scenario analysisd	9.30	13.60	16.29	16.83	18.98	75.01

Abbreviations: iTBS, intermittent theta burst stimulation; rTMS, repetitive transcranial magnetic stimulation.

^aLong treatment is defined as a 37.5-minute session. An rTMS machine could run 8 sessions per day (communication with D. Blumberger, MD, on October 30, 2019). All costs expressed in 2019 Canadian dollars.

^bBrief treatment is defined as a 3-minute session. An rTMS machine could run 22 sessions per day (communication with D. Blumberger, MD, on October 30, 2019). All costs are expressed in 2019 Canadian dollars.

^cTotal costs (new scenario) = Long treatments (high-frequency rTMS) + Brief treatments (iTBS) + Training costs.

^dBudget impact = New scenario − Current scenario.