North Staffordshire Community Beds Study : Longitudinal evaluation of psychiatric in-patient units attached to community mental health centres. 2 : Impact upon costs and resource use.
Background Innovative approaches to the provision of psychiatric care must justify their ability to improve the quality of life within the resource constraints imposed on psychiatry.
Aims To examine the average costs per patient of the experimental and control group services.
Method An individual patient costing methodology that identified, measured and valued all public and private resources.
Results The experimental group was more likely to remain in contact with services over a 12-month period, had fewer acute readmissions and spent less time in acute in-patient units.
There were significantly different levels and patterns of resource consumption between the groups and between the two separate catchment areas.
Conclusion The cost analysis should be assessed in the context ofthe previous outcome analysis.
It is likely, but not inevitable, that such units will increase the overall costs of care provision ; this largely depends on the effectiveness with which such units are integrated into existing care provision.
Declaration of interest Support received from the North Staffordshire Health Authority and the Combined Health Care North Staffordshire NHS Trust.
Mots-clés Pascal : Traitement communautaire, Service santé, Psychiatrie, Santé mentale, Angleterre, Grande Bretagne, Royaume Uni, Europe, Analyse coût, Qualité vie, Efficacité traitement, Etude longitudinale, Système santé, Homme
Mots-clés Pascal anglais : Community treatment, Health service, Psychiatry, Mental health, England, Great Britain, United Kingdom, Europe, Cost analysis, Quality of life, Treatment efficiency, Follow up study, Health system, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0368123
Code Inist : 002B18I11. Création : 14/12/1999.