Efficiency of Mental Hospitals

Stern, Babette E.; Stern, E. S.

doi:10.1136/jech.17.3.111

Cited by 10 publications

(3 citation statements)

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“…Another suggestion which emerges from several studies is that more intensive treatments and treatments with a higher weekly cost ultimately are associated with lower total costs of illness (Wadsworth et al 1957;Jones et al 1961;Jones & Sidebotham, 1962;Stern & Stern, 1963;McCaffree, 1966). The findings with the DGH(T) support this suggestion.…”

Section: Discussionmentioning

confidence: 91%

A comparison of two different services treating schizophrenia: a cost–benefit approach

1980

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SYNOPSISThis study compares the clinical and social outcome for 2 cohorts of patients who had a first admission for schizophrenia 4 years earlier. One cohort was treated in a psychiatric unit attached to a teaching district general hospital (DGH(T)), while the other was treated at an area mental hospital (AMH) with modern rehabilitation facilities. The clinical outcome for the 2 cohorts was broadly similar, but the DGH(T) imposed less of a strain on relatives, and was associated with less unmet need. The DGH unit tended to have significantly shorter durations of stay for its patients, so that its total hospital costs were less than those for the AMH despite higher unit costs. The cost benefit analysis shows that, where these particular patients are concerned, the DGH(T) unit is economically superior to the AMH despite the fact that it supports a large teaching staff, and that these economic advantages are accompanied by various non-monetary advantages.

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Section: Discussionmentioning

confidence: 91%

A comparison of two different services treating schizophrenia: a cost–benefit approach

1980

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“…average speed with which hospital costs fall as in-patient numbers decline. With one exception, previous British studies of the costs of psychiatric hospital care do not permit a comparison with the results described below (Stern & Stern, 1963;Mercer, 1975;McKechnie el al. 1982).…”

Section: Cost Variations Between Hospitalsmentioning

confidence: 98%

Costing mental health services

1990

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SynopsisIn this paper four principal topics are addressed: (a) the policy and political contexts in which demands arise for cost information; (b) the nature and phasing of those demands; (c) the basic rules of empirical costs research for meeting those demands; and (d) concomitant implications for the design, execution and interpretation of their research. Mental health care policy or practice changes which ignore costs, or which embody cost information without obeying or recognizing the four basic rules, can only be of dubious validity, or can only be used to answer a limited range of questions. But, as the illustrative studies show, it need not be an horrendous, or ideologically compromising or scientifically complex task to add a cost dimension to the evaluation of mental health services. There are enough examples in the literature of bad costs research to demonstrate that it is not as simple as some people think, but there are also enough examples of good research t o encourage further attempts.

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“…At first thought these ways would seem easy to find, for the similarity of mental hospitals to industrial establishments has led to numerous efforts at estimating costeffectiveness (5,36,38,40) and there is a vast literature on the evaluation of psychiatric therapy and therapists. But the criteria of 'success' employed in such approaches are too narrow for a modern, comprehensive community mental health program.…”

mentioning

confidence: 99%

Methods of Evaluating Community Mental Health Programs

Murphy

1971

Canadian Psychiatric Association Journal

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Efficiency of Mental Hospitals

Cited by 10 publications

References 5 publications

A comparison of two different services treating schizophrenia: a cost–benefit approach

A comparison of two different services treating schizophrenia: a cost–benefit approach

Costing mental health services

Methods of Evaluating Community Mental Health Programs

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