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  1. Service utilization and cost of community care for discharged state hospital patients : A 3-year follow-up study.

    Article - En anglais


    This study examined the mental health service utilization and costs of 321 discharged state hospital patients during a 3-year follow-up period compared with costs if the patients had remained in the hospital.


    The study subjects were long-stay patients discharged from Philadelphia State Hospital after 1988.

    A longitudinal integrated database on all mental health and medical services reimbursed by Medicaid and Medicare as well as state-and county-funded services was used to construct service utilization and unit cost measures.


    During the 3-year period after discharge, 20% - 30% of the patients required rehospitalization an average of 76-91 days per year.

    The percentage of rehospitalized patients decreased over time, but the number of hospital days increased.

    All of the discharged patients received case management services, and a majority also received outpatient mental health care (66% - 70%) and residential services (75%) throughout the follow-up period.

    The total treatment cost per person was approximately $60,000 a year after controlling for inflation, with costs rising slightly over the 3-year period.

    The estimated cost of state hospitalization, with the use of 1992 estimates, would have been $130,000 per year if the patients had remained institutionalized. (...)

    Mots-clés Pascal : Service santé, Utilisation, Sortie hôpital, Santé mentale, Traitement communautaire, Analyse coût, Etude longitudinale, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Health service, Use, Hospital discharge, Mental health, Community treatment, Cost analysis, Follow up study, United States, North America, America, Human

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

    Cote : 99-0349196

    Code Inist : 002B18I11. Création : 14/12/1999.