Direct and indirect costs of schizophrenia in community psychiatric services in Italy

Tarricone, Rosanna; Gerzeli, Simone; Montanelli, Roberta; Frattura, Lucilla; Percudani, Mauro; Racagni, Giorgio

doi:10.1016/s0168-8510(99)00078-0

Cited by 62 publications

(52 citation statements)

References 13 publications

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“…industry, agriculture, public administration, commercial services) they worked in (Tarricone et al, 2000). This implied values of € 22,826 for employees in industry, € 26,407 in public administration, € 17,477 in agriculture, and € 22,598 in commercial services.…”

Section: Production Lossesmentioning

confidence: 99%

Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy

et al. 2004

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Objective.– This study estimated service and non-service costs in a random sample of patients attending a community psychiatric mental health centre in Italy.Methods– A randomly selected sample of patients identified during 1 week of routine clinical activity was enrolled. Information was collected using the Italian-language checklist Questionario Economico per l’attività clinica dei Servizi Psichiatrici (QESP). Costs were classified in two categories: service costs (from the provision of services) and non-service costs (loss of productivity and informal care).Results.– One hundred and twenty patients were included. Patients suffering from schizophrenia and related disorders (n = 50) had a mean age of 44.5 years (S.D. 12.9), and patients with other diagnoses (n = 70) had a mean age of 44.9 years (S.D. 14.8). More patients in the schizophrenia group were single, living alone, had a low educational level and a higher unemployment rate. In patients suffering from schizophrenia, the monthly service cost per patient was nearly double that for patients with other diagnoses. Non-service costs associated with patients’ lack of job opportunities were more than three times higher for patients with schizophrenia. Non-service costs associated with patients’ and care-givers’ time off work were similar in the two groups. In the multivariate analysis, being unemployed was associated with higher service costs. Younger age, length of illness and diagnosis of schizophrenia were determinants of higher non-service costs. The latter three independent variables were also associated with overall (service and non-service) costs.Conclusion.– The present study estimated service and non-service costs under routine circumstances to provide information on costs that community psychiatric services, patients and care-givers sustain when dealing with psychiatric problems.

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Section: Production Lossesmentioning

confidence: 99%

Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy

et al. 2004

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“…However, a limitation of the top-down approach is that it does not encompass certain components of direct costs such as out-of-pocket expenditures, which are not recorded at an aggregate level. It may also be biased towards costs that are easy to record at a national level such as hospital and drug costs (Tarricone et al, 2000). We use a top-down approach in our work.…”

Section: Methodological Cost Issuesmentioning

confidence: 99%

The Economics of Mental Health Care in Ireland

O’Shea¹,

Kennelly²

2008

PsycEXTRA Dataset

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“…This allows to estimate the productivity loss due to disability. The labour incomes are used to assess the productivity loss due to the morbidity, assuming that labour income reflect productivity (Tarricone et al, 2000).…”

Section: Social Costs Computationmentioning

confidence: 99%

“…Following Tarricone et al (2000) we apply (for both disabled member and who takes care of him) the following formula:…”

Section: Social Costs Computationmentioning

confidence: 99%

Can civilian disability pensions overcome the poverty issue? A DSGE analysis for Italian data

Ferrara

2016

Qual Quant

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In Italy, poverty and disability are two strictly related issues (Parodi, 2004(Parodi, , 2006(Parodi, , 2007Parodi and Sciulli, 2008;Davila Quintana and Malo, 2012). Moreover, public transfers are not sufficient to exlude households with at least one disabled member from the poverty risk. We simulate a simple Real Business Cycle model to investigate the macroeconomic effects of a permanent increase in civilian disability pensions. In particular, we stress whether such a policy action is effective to stimulate private consumption. The exercise is implemented through both temporary and permanent reduction of public spending. Results show that in the long run a minimum increase in civilian disability pensions allows households with one disabled member to consume more and, importantly, to exit from poverty condition. In the short run we observe a policy trade-off. If public spending reduction is temporary and fast, private consumptions immediately increase but output deeply falls. On the contrary, if public spending permanently and slowly reduces, the recessionary effect softens but private consumptions only gradually increase.

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Direct and indirect costs of schizophrenia in community psychiatric services in Italy

Cited by 62 publications

References 13 publications

Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy

Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy

The Economics of Mental Health Care in Ireland

Can civilian disability pensions overcome the poverty issue? A DSGE analysis for Italian data

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