Schizophrenia: Results of a Cohort Study with Respect to Cost-Accounting Problems of Patterns of Mental Health Care in Relation to Course of Illness

Wiersma, Durk; Giel, R; Jong, A. De; Slooff, C. J.

doi:10.1007/978-3-642-83366-3_9

Cited by 7 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Results show that the average total cost for each patient during the 3 years was $9,612 (1989 U.S. dollars), much lower than costs found by Andrews et al (1985) in Australia ($8,425-1975 U.S. dollars) for the first year only and much lower than the results of Wiersma et al (1988) in The Netherlands ($17,000-1979 U.S. dollars) for 3 years.…”

Section: Discussioncontrasting

confidence: 52%

Cost Evaluation of Chronic Schizophrenic Patients During the First 3 Years After the First Contact

Moscarelli

Capri

Neri

1991

Schizophrenia Bulletin

View full text Add to dashboard Cite

This study was performed in Italy, where mental health care is largely provided by the Government-financed Italian National Health Service (INHS). Since 1978, outpatient services and psychiatric beds in general hospitals have replaced psychiatric hospitals, which have not been permitted to admit new patients. The direct costs of three cohorts of 20 chronic schizophrenic patients were evaluated according to incidence data for a 3-year period. The analysis focused in particular on services provided by public institutions. The average cost per patient during this period following first contact-admission was $9,612 (1989 U.S. dollars), which is low compared to costs in other countries. The cost distribution between inpatient and outpatient services was different from other studies and showed that, in Italy, hospital expenses covered approximately 50 percent of total direct INHS costs. The length of time between onset and first contact-admission showed a significant association (p less than 0.01) with INHS costs during the 3 years. A significant association (p less than 0.05) also was found between the Scale for the Assessment of Positive Symptoms (SAPS) global symptom "delusions" evaluated after 5 to 7 years and the average INHS costs during the 3 years of the study.

show abstract

Section: Discussioncontrasting

confidence: 52%

Cost Evaluation of Chronic Schizophrenic Patients During the First 3 Years After the First Contact

Moscarelli

Capri

Neri

1991

Schizophrenia Bulletin

View full text Add to dashboard Cite

show abstract

“…To address this need for a standardized cross-cultural measurement of health status and in response to calls for improving the scope and cultural adaptability of the original World Health Organization Disability Assessment Schedule (WHODAS), [2][3][4][5][6][7][8][9] WHO developed a second version (WHODAS 2.0) as a general measure of functioning and disability in major life domains. This paper reports on the development strategy and the metric properties of the WHODAS 2.0.…”

Section: Introductionmentioning

confidence: 99%

Developing the World Health Organization Disability Assessment Schedule 2.0

Üstün

Chatterji

Kostanjsek

et al. 2010

Bull. World Health Organ.

1,459

1,243

View full text Add to dashboard Cite

Assessment of the need for care 15 years after onset of a Dutch cohort of patients with schizophrenia, and an international comparison

Wiersma

Giel

Jong

et al. 1996

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Assessment of needs for care is crucial in the evaluation of ongoing changes from institutional care to various forms of day- and outpatient treatment. Do patients really do better in the community and are they adequately cared for? The 15-year follow-up of a Dutch incidence cohort of patients with schizophrenia and other functional non-affective psychoses showed that 47 (out of 63) patients had positive ratings of symptoms and disabilities. They were assessed by means of the Needs for Care Assessment Schedule, which articulates the problems and corresponding interventions resulting in a judgement of met or unmet need for treatment or assessment. There was a mean of 2.1 clinical problems and 2.1 social problems per patient. Few problems were considered to generate unmet needs: 14% of the clinical problems and only 7% of the social problems. Nevertheless, 32% of the patients had one or more unmet needs. These results were compared with data from six research centres in the United Kingdom (Camberwell, Oxford and South Glamorgan), Canada (Montreal), Italy (Verona) and Finland (Tampere). Despite differences in health care settings in the four countries, the ratio of met to unmet needs (about 4-5 to 1) among chronic, mostly schizophrenic patients is more or less the same with the exception of an apparently underserved hostel population in Oxford and the Finnish patient population probably due to high expectations with respect to independent community living.

show abstract

Schizophrenia: Results of a Cohort Study with Respect to Cost-Accounting Problems of Patterns of Mental Health Care in Relation to Course of Illness

Cited by 7 publications

References 12 publications

Cost Evaluation of Chronic Schizophrenic Patients During the First 3 Years After the First Contact

Cost Evaluation of Chronic Schizophrenic Patients During the First 3 Years After the First Contact

Developing the World Health Organization Disability Assessment Schedule 2.0

Assessment of the need for care 15 years after onset of a Dutch cohort of patients with schizophrenia, and an international comparison

Contact Info

Product

Resources

About