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LIBRIS Formathandbok  (Information om MARC21)
00005902naa a22005053a 4500
008080901s2013 xx |||| |0|| 0|eng d
024a 0003165104000032 isi
024a 236764122 pmid
040 a (SwePub)gud (SwePub)ki
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Ekman, M.4 aut0 (SwePub:gu.se)177108
2451 0a The Societal Cost of Schizophrenia in Sweden
500 a not verified at registration
500 a Published
500 a 5
520a Background: Schizophrenia is a disabling psychiatric disorder that has severe consequences for patients and their families. Moreover, the expensive treatment of schizophrenia imposes a burden on health care providers and the wider society. Existing cost estimates for Sweden, however, are based on relatively small patient populations and need to be confirmed in a large register-based study. Aims of the Study: To investigate the health care resource utilization and cost-of-illness in patients with schizophrenia in Sweden and to relate the costs to hospitalizations and global assessment of functioning (GAF). Methods: Hospital-based registry data were combined with national registry data from a large patient population to get reliable estimates of the costs of schizophrenia in Sweden. Schizophrenia was defined by ICD-10 codes F20; F21; F23.1,2,8,9; F25.1,8,9. Registry data on socio-demographics and disease-related healthcare resource use in outpatient and inpatient care were obtained from Northern Stockholm Psychiatry. Data on pharmaceuticals were obtained from the National Board of Health and Welfare, and data on sick leave and early retirement were obtained from the Swedish Social Insurance Agency. Costs for community mental health care were not available at the individual level, but were estimated based on previous studies and aggregate cost data from Stockholm. Resource use data from the registries were combined with unit costs from publicly available sources. The study was conducted from a societal perspective, with indirect costs valued according to the human capital method. Results: The average annual psychiatric cost per patient with schizophrenia in 2008 was 42 700 (95% CI: 41 500 44 000), based on a sample of 2 161 patients. To this should be added costs for community mental health care of 12 400 per patient, giving a total cost of 55 100 per patient. The two largest cost items in the total costs were indirect costs due to lost productivity (60%) and community mental health care (22% of the total cost). Patients who were hospitalized in 2008 had greater psychiatric costs than those who were not, (sic)71 700 vs. (sic)37 700 (p<0.0001). Psychiatric costs were significantly and negatively correlated with GAF (p<0.001). Discussion: The major strengths of the study are the relatively large sample, and the linkage of patient-level clinical data on inpatient and outpatient care with national registry data on prescription pharmaceuticals, and days on social insurance. A limitation was that costs for informal care and primary care were not included in the data, but previous studies suggest that these costs items are small compared to other costs for schizophrenia. Implications for Health Policies and Future Research: Costs were strongly related to hospitalization and GAF, suggesting that attempts to improve global functioning and avoid hospitalizations by means of effective treatment and rehabilitation might not only decrease suffering for patients and relatives, but also reduce the societal cost of schizophrenia. A detailed knowledge of the societal costs can also be helpful in evaluating the cost-effectiveness of new treatment strategies to improve the care for patients with schizophrenia.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri2 hsv//swe0 (SwePub)30215
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry2 hsv//eng0 (SwePub)30215
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskaperx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi2 hsv//swe0 (SwePub)30301
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy2 hsv//eng0 (SwePub)30301
653 a economic burden
653 a of-illness
653 a follow-up
653 a european countries
653 a depression
653 a prevalence
653 a disorders
653 a care
653 a population
653 a guide
700a Granstrom, O.4 aut0 (SwePub:gu.se)197169
700a Omerov, S.4 aut0 (SwePub:gu.se)177110
700a Jacob, J.4 aut0 (SwePub:gu.se)177111
700a Landén, Mikael,d 1966-,u Göteborgs universitet, Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi, Gothenburg University, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry4 aut0 (SwePub:gu.se)xlandt
700a Landen, M,u Karolinska Institutet4 aut0 (SwePub:ki)95afb9d754c77eb79e82fc241f665426
7108 swea Göteborgs universitet.b Sahlgrenska akademin.b Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi.0 (SwePub:gu.se)1630
7108 enga Gothenburg University.b Sahlgrenska Academy.b Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry.0 (SwePub:gu.se)1630
773t Journal of Mental Health Policy and Economicsx 1091-4358g 16:1, s. 13-25q 16:1<13-25
8564 8u https://gup.ub.gu.se/publication/176188y Till lärosätets (gu) databasx lärosäteslänk
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:126406860y Till lärosätets (ki) databasx lärosäteslänk

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