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Titolo:
ISSUES IN ESTIMATING THE COST OF INNOVATIVE MENTAL-HEALTH-PROGRAMS
Autore:
ROSENHECK R; NEALE M; FRISMAN L;
Indirizzi:
VAMC,NE PROGRAM EVALUAT CTR,950 CAMPBELL AVE W HAVEN CT 06516 YALE UNIV,DEPT PSYCHIAT NEW HAVEN CT 06520
Titolo Testata:
Psychiatric quarterly
fascicolo: 1, volume: 66, anno: 1995,
pagine: 9 - 31
SICI:
0033-2720(1995)66:1<9:IIETCO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
HOSPITAL TREATMENT; ECONOMIC-ANALYSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Citazione:
R. Rosenheck et al., "ISSUES IN ESTIMATING THE COST OF INNOVATIVE MENTAL-HEALTH-PROGRAMS", Psychiatric quarterly, 66(1), 1995, pp. 9-31

Abstract

This paper reviews problems encountered in estimating the unit cost of services provided by innovative mental health programs and illustrates methods for addressing these problems. Generally, the cost of a health care service is determined by identifying all resources used in its production and the cost of those resources. These costs are divided by appropriate workload measures to determine the cost per unit of service or per client. Issues that must be addressed include: 1) direct program costs; 2) indirect costs (including administration and capital costs); 3) program resources used to support research and other non-program activities; and 4) identification of ''typical'' workloads as the program is implemented. Application of these methods is illustrated with data from a multi-site study of intensive psychiatric community care conducted at nine Department of Veterans Affairs Medical Centers in the Northeast. A sensitivity analysis revealed that estimates of program costs var by 59% over the entire program, and from 17%-168% at individual sites, depending on which cost estimation methods were included. The average cost of case management in this program varied considerably across sites, primarily reflecting differences in caseload size and staffing levels. Adjusting for inflation, the cost of this programfalls below the cost of other published intensive community programs.

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Documento generato il 21/01/20 alle ore 01:34:32