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Mental health services utilization and costs of patients with schizophrenia in three areas of Spain

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dc.contributor.authorHaro, Josep María
dc.contributor.authorSalvador, Luis
dc.contributor.authorCabasés Hita, Juan Manuel
dc.contributor.authorMadoz, Vicente
dc.contributor.authorVázquez Barquero, José Luis
dc.contributor.authorAgustench Cotillas, Cristina
dc.contributor.departmentEconomíaes_ES
dc.contributor.departmentEkonomiaeu
dc.date.accessioned2016-05-10T07:40:15Z
dc.date.available2016-05-10T07:40:15Z
dc.date.issued1998
dc.description.abstractSe compara la utilización de servicios sanitarios y los costes totales de atención de tres cohortes de pacientes con esquizofrenia en el tercer año tras el diagnóstico. Las tres cohortes son representativas de tres áreas de España (Burlada, en Navarra, Cantabria y El Eixample, en Barcelona), con caracter’ísticas socioeconómicas y estructuras asistenciales muy diferentes. Los casos fueron seleccionados de entre los pacientes que contactaron por primera vez con los servicios de salud mental y fueron diagnosticados de esquizofrenia. El número de visitas ambulatorias por paciente y año fue de 10.7 y el tiempo de estancia hospitalaria media de 9.5 dí’as. Los costes directos asistenciales por paciente en el tercer año de tratamiento fueron de 295.459 pts. Conclusiones: Los costes fueron más elevados en las dos áreas con mayor nivel de desarrollo de servicios comunitarios. Barcelona muestra el mayor coste por paciente (368.440 pts.) y Cantabria el menor. No se constata que la diferencia de costes suponga un mejor resultado. Los costes de los pacientes con mejor estado funcional fueron menores que los de peores resultados. La disponibilidad de servicios puede ser la variable explicativa de las diferencias encontradas.es_ES
dc.description.abstractBackground: the analysis of the costs of schizophrenia and its treatment under different mental health care structures will facilitate the improved allocation of the limited resources available for the treatment of schizophrenia. The research we present compares health services use and total health care costs of three cohorts of patients with schizophrenia which are representative of three areas of Spain (Burlada in Navarra, Cantabria and the Eixample of Barcelona). Methods: cases selected were those first time contacts with any psychiatric service that received a diagnosis of schizophrenia. Patients were evaluated in the third year after onset. Results: the mean number of outpatient visits per patient per year was 10.7 and the mean inpatient days were 9.5. The mean direct costs per patient in the third year of treatment was 295.459 Spanish pesetas. Conclusions: costs were greater in the two centers with larger community mental health development. Barcelona has the higher cost per patient (368.440 PTA) and Cantabria the lowest cost. We did not find that this cost difference turned into a better outcome. Costs of patients with better functional status were lower than costs of patients with a worse outcome. Some of the findings may be explained by service availability.en
dc.description.sponsorshipThis study has been partially funded with grants by the Spanish Fondo de Investigaciones Sanitarias (FIS 97/1298), Eli-Lilly and Co (ESQ00196) and a postresidency prize from the Hospital Clinic y Provincial of Barcelona.en
dc.format.extent18 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/20589
dc.language.isoengen
dc.relation.ispartofseriesDocumentos de Trabajo DE - ES Lan Gaiakes
dc.relation.ispartofseries9812en
dc.rightsCC Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectEsquizofreniaes_ES
dc.subjectCosteses_ES
dc.subjectIncidenciaes_ES
dc.subjectUtilización de servicioses_ES
dc.subjectSchizophreniaen
dc.subjectCostsen
dc.subjectIncidenceen
dc.subjectService utilizationen
dc.titleMental health services utilization and costs of patients with schizophrenia in three areas of Spainen
dc.typeinfo:eu-repo/semantics/workingPaper
dspace.entity.typePublication
relation.isAuthorOfPublication1a8dab3a-5e54-4aa0-bc0f-7d7fa49b3268
relation.isAuthorOfPublicationbd280cc8-3839-4fc1-a88d-e29ebcddea42
relation.isAuthorOfPublication.latestForDiscovery1a8dab3a-5e54-4aa0-bc0f-7d7fa49b3268

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