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  1. The cost of comprehensive care of people with schizophrenia living in the community : A cost evaluation from a German catchment area.

    Article - En anglais

    Background

    In community mental health care, knowledge about costs of care is very limited.

    Only few studies have related costs to outcome measures.

    Method

    This German study assesses the cost of psychiatric care of 66 schizophrenic patients during one year of living in the community.

    Predictors of high cost were identified.

    Results

    The average cost of comprehensive community care of one patient of the cohort was US$ 353 per week.

    This was only 43% of the cost of constant long-term care in a psychiatric hospital.

    Significant predictors of total cost of community care were the number of rehabilitative problems at the beginning and at the end of the study period, the type of accommodation before index hospitalisation and the gender of patients.

    Conclusions

    Results must be understood in terms of the characteristics of the special patient group and the catchment area we studied and are of high relevance in planning future care.

    Mots-clés Pascal : Schizophrénie, Psychose, Traitement communautaire, Psychiatrie communautaire, Analyse coût, Economie santé, Etude comparative, Hospitalisation, Hôpital psychiatrique, Enquête, Allemagne, Europe, Homme

    Mots-clés Pascal anglais : Schizophrenia, Psychosis, Community treatment, Community psychiatry, Cost analysis, Health economy, Comparative study, Hospitalization, Psychiatric hospital, Inquiry, Germany, Europe, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0349719

    Code Inist : 002B18H05B. Création : 10/04/1997.