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Titolo:
THE TREATMENT OF PSYCHOSIS - RESETTING THE DRUG COST THERMOSTAT
Autore:
REID WH;
Indirizzi:
TEXAS DEPT MENTAL HLTH & MENTAL RETARDAT,POB 12668 AUSTIN TX 78711 UNIV TEXAS SYST AUSTIN TX 00000
Titolo Testata:
The Journal of clinical psychiatry
fascicolo: 9, volume: 55, anno: 1994, supplemento:, B
pagine: 166 - 168
SICI:
0160-6689(1994)55:9<166:TTOP-R>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
W.H. Reid, "THE TREATMENT OF PSYCHOSIS - RESETTING THE DRUG COST THERMOSTAT", The Journal of clinical psychiatry, 55(9), 1994, pp. 166-168

Abstract

Cost-effective means different, sometimes competing things to different observers. In addition to well-known clinical benefits, large payors such as state governments think clozapine and similarly effective antipsychotic medications will yield immediate dollar savings. They do not consider the need to shift existing resources to community follow-up, the time required to phase out hospital units, and the backlogs of new patients. In today's financial climate, legislators and other elected officials are reluctant to invest in expensive medicines and then wait for long-term savings. We must convince those who hold the purse strings that acceptable antipsychotic drugs will be expensive for at least several years to come, until more new and generic drugs appear. We must tell them firmly that our patients, doctors, and mental health systems cannot afford to rely on older medications, even though they seem inexpensive. The drug cost ''thermostat'' should be reset so that payors and budget reviewers realize that safe and adequate antipsychotic medications often cost $5 to $25 a day. If new dollars are not available, existing budgets may have to be restructured. For most patients, anything else is substandard.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 22:54:03