Utilisation of mental health services and costs of patients with schizophrenia in three areas of Spain

被引:48
作者
Haro, JM
Salvador-Carulla, L
Cabasés, J
Madoz, V
Vázquez-Barquero, JL
机构
[1] Ctr Salut Mental Gava, E-08850 Barcelona, Spain
[2] Univ Cadiz, Ctr Invest Minusvalias, Cadiz, Spain
[3] Univ Publ Navarra, Dept Econ, Navarra, Spain
[4] Fdn Argibide, Navarra, Spain
[5] Univ Cantabria, Unidad Invest Psiquiat Social, Santander, Spain
关键词
D O I
10.1192/bjp.173.4.334
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background The analysis of the costs of schizophrenia and its treatment under different, mental health care structures will facilitate the improved allocation of the limited resources available for the treatment of schizophrenia. The research we present compares health service use and total health care costs of three cohorts of subjects with schizophrenia which are representative of three areas of Spain (Burlada in Navarra, Cantabria and the Eixample of Barcelona). Method We selected first-time contacts with any psychiatric service who received a diagnosis of schizophrenia. Subjects were evaluated in the third year after onset. Results The mean number of out-patient visits per patient per year was 10.7 and the mean in-patient days were 9.5.The mean direct cost per patient in the third year of treatment was US$2243. Costs were higher for single subjects and for people who had a relapse. Costs of subjects with better functioning were lower than costs of subjects with a worse state. Conclusions Direct costs of care in Spain were lower than the reported figures from other western European countries. Costs were greater in the two centres with greater community menial health service development. Some of the findings may be explained by service availability.
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页码:334 / 340
页数:7
相关论文
共 22 条
[1]  
Beecham J., 1995, EC EVALUATION MENTAL
[2]   The efficacy of 2 different dosages of methylphenidate in treating adults with attention-deficit hyperactivity disorder [J].
Bouffard, R ;
Hechtman, L ;
Minde, K ;
Iaboni-Kassab, F .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2003, 48 (08) :546-554
[3]   ECONOMICS AND SCHIZOPHRENIA - THE REAL COST [J].
DAVIES, LM ;
DRUMMOND, MF .
BRITISH JOURNAL OF PSYCHIATRY, 1994, 165 :18-21
[4]   LESSONS FROM THE PROGRAM ON CHRONIC MENTAL-ILLNESS [J].
GOLDMAN, HH ;
MORRISSEY, JP ;
RIDGELY, MS ;
FRANK, RG ;
NEWMAN, SJ ;
KENNEDY, C .
HEALTH AFFAIRS, 1992, 11 (03) :51-68
[5]  
GOLDMAN HH, 1992, AM J PSYCHIAT, V149, P1148
[6]   THE INFLUENCE OF AGE AND SEX ON THE ONSET AND EARLY COURSE OF SCHIZOPHRENIA [J].
HAFNER, H ;
MAURER, K ;
LOFFLER, W ;
RIECHERROSSLER, A .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 162 :80-86
[7]  
HU TW, 1996, SCHIZOPHRENIA
[8]   The World Health Organization short disability assessment schedule (WHO DAS-S): A tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders [J].
Janca, A ;
Kastrup, M ;
Katschnig, H ;
LopezIbor, JJ ;
Mezzich, JE ;
Sartorius, N .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1996, 31 (06) :349-354
[9]   Costs of schizophrenia [J].
Knapp, M .
BRITISH JOURNAL OF PSYCHIATRY, 1997, 171 :509-518
[10]  
KOOPMANSCHAP MA, 1997, J HLTH EC, V14, P171