Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
The analysis of cost structures of the treatment of schizophrenia by meansof standardized assessment instruments.
Autore:
Kilian, R; Roick, C; Matschinger, H; Bernert, S; Mory, C; Angermeyer, MC;
Indirizzi:
Univ Leipzig, Psychiat Klin & Poliklin, D-04317 Leipzig, Germany Univ Leipzig Leipzig Germany D-04317 Poliklin, D-04317 Leipzig, Germany
Titolo Testata:
PSYCHIATRISCHE PRAXIS
, volume: 28, anno: 2001, supplemento:, 2
pagine: S102 - S108
SICI:
0303-4259(200110)28:<S102:TAOCSO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
GER
Soggetto:
SERIOUS MENTAL-ILLNESS; HOSPITAL-BASED CARE; PSYCHIATRIC-CARE; COMMUNITY CARE; BOOTSTRAP; SERVICES; PEOPLE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Kilian, R Univ Leipzig, Psychiat Klin & Poliklin, Johannissallee 20, D-04317 Leipzig, Germany Univ Leipzig Johannissallee 20 Leipzig Germany D-04317 Germany
Citazione:
R. Kilian et al., "The analysis of cost structures of the treatment of schizophrenia by meansof standardized assessment instruments.", PSYCHIAT PR, 28, 2001, pp. S102-S108

Abstract

Objective: Aims of the study are the analysis oft the structures and influence factors causing direct costs of schizophrenic diseases by means of international standardized assessment instruments. Method: Annual costs of treatment were assessed for a sample of 258 patients with the diagnosis of schizophrenia (ICD-10 F20) by means of the German version of the CSSRI. For the analysis of cost variance a regression model was computed using functional level (GAF), symptoms (BPRS 4.0), needs for care (CAN), service satisfaction (VSSS) and subjective quality of life (LQoLP) as predictors. Results: The average yearly treatment costs for the study sample were 12726,- DM. Costs for sheltered accommodation and for psychiatric inpatient treatment werefound to be the largest elements of the entire costs followed by the costsfor ambulant medications. Results of the regression analysis show that illness history, the severity of symptoms and the need for care explain the greatest proportion of variance. Conclusions: The standardized instruments developed in the project enable a systematic and international comparable assessment of the costs in the treatment of schizophrenic diseases. Furthermore the instruments allow to explain 38% of the cost variance. The impact of the severity of symptoms under statistical control of the functional impairment and the needs for care suggests that an effective reduction of symptoms could lead to savings in the entire treatment costs. However, the great influence of the illness history and, irrespective of the functional impairment, the need for care show that the possibilities for cost savings in the treatment of schizophrenia are generally low.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 10:41:02