The use of a case register to evaluate the costs of psychiatric care.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0285115
Code Inist : 002B18H05B. Création : 15/07/1997.