Document Detail

Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy.
MedLine Citation:
PMID:  15589705     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study estimated service and non-service costs in a random sample of patients attending a community psychiatric mental health centre in Italy. METHODS: A randomly selected sample of patients identified during 1 week of routine clinical activity was enrolled. Information was collected using the Italian-language checklist Questionario Economico per l'attivita clinica dei Servizi Psichiatrici (QESP). Costs were classified in two categories: service costs (from the provision of services) and non-service costs (loss of productivity and informal care). RESULTS: One hundred and twenty patients were included. Patients suffering from schizophrenia and related disorders (n = 50) had a mean age of 44.5 years (S.D. 12.9), and patients with other diagnoses (n = 70) had a mean age of 44.9 years (S.D. 14.8). More patients in the schizophrenia group were single, living alone, had a low educational level and a higher unemployment rate. In patients suffering from schizophrenia, the monthly service cost per patient was nearly double that for patients with other diagnoses. Non-service costs associated with patients' lack of job opportunities were more than three times higher for patients with schizophrenia. Non-service costs associated with patients' and care-givers' time off work were similar in the two groups. In the multivariate analysis, being unemployed was associated with higher service costs. Younger age, length of illness and diagnosis of schizophrenia were determinants of higher non-service costs. The latter three independent variables were also associated with overall (service and non-service) costs. CONCLUSION: The present study estimated service and non-service costs under routine circumstances to provide information on costs that community psychiatric services, patients and care-givers sustain when dealing with psychiatric problems.
Mauro Percudani; Corrado Barbui; Jennifer Beecham; Martin Knapp
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European psychiatry : the journal of the Association of European Psychiatrists     Volume:  19     ISSN:  0924-9338     ISO Abbreviation:  Eur. Psychiatry     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-05-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9111820     Medline TA:  Eur Psychiatry     Country:  France    
Other Details:
Languages:  eng     Pagination:  469-77     Citation Subset:  IM    
Department of Mental Health, Hospital of Legnano, Via Candiani 2, 20025 Legnano, Milan, Italy.
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MeSH Terms
Community Mental Health Centers / economics*,  utilization
Community Mental Health Services / economics*,  utilization
Cost of Illness*
Cost-Benefit Analysis
Direct Service Costs*
Italy / epidemiology
Mental Disorders / economics*,  epidemiology,  therapy*
Middle Aged
Outcome Assessment (Health Care)*
Physician's Practice Patterns / economics*
Schizophrenia / economics,  epidemiology,  therapy

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