| Cost variation in child and adolescent psychiatric inpatient treatment. | |
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MedLine Citation:
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PMID: 19288167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Publicly available costs data for child and adolescent psychiatric inpatient services do not allow links to be made with patients' needs and outcomes. Without this information commissioners may reduce the role of inpatient services on the basis of budgetary impacts alone. This study estimates the support costs before, during and after an inpatient admission and explores the associations between costs, needs and outcomes. A detailed prospective cohort study of eight child and adolescent units was undertaken in which participants were assessed at referral, admission, decision to discharge and 1 year later. Mean admission costs were pound24,120, although the range was wide. Associations were found between costs and patients' global impairment, age and exclusion status. Support costs after admission were similar to pre-admission costs, but there was some evidence to suggest that services were better targeted. Moves in England to develop national tariffs for inpatient psychiatric episodes should be based on the likely cost of the episode of treatment rather than costs per day, and good commissioning requires more information on the predictors of such costs. |
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Authors:
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Jennifer K Beecham; Jonathan Green; Brian Jacobs; Graham Dunn |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-03-14 |
Journal Detail:
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Title: European child & adolescent psychiatry Volume: 18 ISSN: 1435-165X ISO Abbreviation: Eur Child Adolesc Psychiatry Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-05 Completed Date: 2009-10-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9212296 Medline TA: Eur Child Adolesc Psychiatry Country: Germany |
Other Details:
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Languages: eng Pagination: 535-42 Citation Subset: IM |
Affiliation:
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PSSRU, University of Kent, Kent, UK. J.K.Beecham@kent.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Budgets Child Child, Preschool England Episode of Care Female Health Care Costs / statistics & numerical data* Hospital Costs / statistics & numerical data Hospitalization / economics* Humans Length of Stay / economics Male Mental Disorders / economics*, therapy* Needs Assessment / economics, statistics & numerical data Outcome Assessment (Health Care) Patient Admission / economics Patient Care / economics Patient Readmission / economics, statistics & numerical data Psychiatric Department, Hospital / economics* |
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