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  1. The use of a case register to evaluate the costs of psychiatric care.

    Article - En anglais

    The aim of this study was to show the usefulness of adding cost information to a routine data collection provided by a case register for analysing the association between patients'characteristics and the direct costs of the psychiatric care actually provided.

    All patients (n=706) who in 1992 had at least one contact with services which report to the South Verona psychiatric case register and who received an ICD-10 diagnosis were included in the study.

    The costs of specialist psychiatric care provided during the 365 days following the first contact in 1992 were calculated using a unit cost list.

    A bespoke software, linked to the case register, was designed to produce the individual information on costs directly.

    For each patient, costs were categorized as in-patient costs, sheltered accommodation costs, day-care costs, out-patient costs and community costs.

    All costs, grouped by service type, were found to differ significantly (P<0.01) between diagnostic groups (affective disorders, neurotic and somatoform disorders, schizophrenia and related disorders, and other diagnoses).

    The multivariate analyses showed that costs are significantly higher for patients with a diagnosis of schizophrenia and related disorders than for patients belonging to the other diagnostic groups.

    However, only 6% of the variation could be explained by diagnostic group alone. (...)

    Mots-clés Pascal : Santé mentale, Traitement, Analyse coût, Méthode, Italie, Europe, Economie santé, Homme

    Mots-clés Pascal anglais : Mental health, Treatment, Cost analysis, Method, Italy, Europe, Health economy, Human

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

    Cote : 97-0285115

    Code Inist : 002B18H05B. Création : 15/07/1997.