Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
INITIATING CLOZAPINE TREATMENT IN THE OUTPATIENT-CLINIC - SERVICE UTILIZATION AND COST TRENDS
Autore:
LUCHINS DJ; HANRAHAN P; SHINDERMAN M; LAGIOS L; FICHTNER CG;
Indirizzi:
ILLINOIS DEPT HUMAN SERV,CLIN SERV,100 W RANDOLPH ST,SUITE 6-400 KYOTO 60601 JAPAN ILLINOIS DEPT HUMAN SERV,CLIN SERV KYOTO 60601 JAPAN UNIV CHICAGO,DEPT PSYCHIAT CHICAGO IL 60637 ILLINOIS DEPT HUMAN SERV,DIV CLIN SERV KYOTO 60601 JAPAN ILLINOIS DEPT HUMAN SERV,MENTAL HLTH SERV KYOTO 60601 JAPAN FINCH UNIV HLTH SCI CHICAGO MED SCH,DEPT PSYCHIAT & BEHAV SCI N CHICAGO IL 60064 COMMUNITY COUNSELING CTR CHICAGO CHICAGO IL 00000
Titolo Testata:
Psychiatric services
fascicolo: 8, volume: 49, anno: 1998,
pagine: 1034 - 1038
SICI:
1075-2730(1998)49:8<1034:ICTITO>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCHIZOPHRENIC-PATIENTS; PHARMACOECONOMICS; THERAPY; QUALITY; LIFE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
D.J. Luchins et al., "INITIATING CLOZAPINE TREATMENT IN THE OUTPATIENT-CLINIC - SERVICE UTILIZATION AND COST TRENDS", Psychiatric services, 49(8), 1998, pp. 1034-1038

Abstract

Objective: Clozapine has been shown to be a cost-effective treatment for refractory psychosis among patients started on the medication in ahospital setting. The study examined service utilization and costs associated with clozapine treatment initiated in an outpatient clinic. Methods: Subjects (N=28) included adult patients with a diagnosis of schizophrenia or schizoaffective disorder who began their clozapine treatment at an urban community mental health center. Subjects' charts were reviewed for information on service utilization in the year before and after starting clozapine, using an intent-to-treat approach. Hospitalization information was cross-checked against the Illinois Department of Human Services database. Costs were computed for hospitalization,medication, community outpatient services, and housing. Results: Subjects' mean rate of hospitalization was reduced by more than half during the clozapine treatment year, and the mean number of days in the hospital decreased by more than two-thirds, from 23.5 days to 7.6 days. Mean hospitalization costs were reduced by more than half. Mean annual costs of medication rose from $648 in the year before clozapine treatment to $6,760 during the clozapine treatment year. Cost increases for medication, community services, and housing led to a marginal increasein the total cost of treatment. Conclusions: Patients initiating clozapine treatment on an outpatient basis showed a pattern of decreased, hospitalization during the first year on clozapine. The cost savings associated with decreased hospitalization substantially, though not fully, offset the increased expense of clozapine during the first year ofcommunity-based treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 04:53:29