Resource utilization in mental illness – evaluation of an instrument for measuring direct costs of treatment for patients with severe mental illness (SMI)

Autor: Richard Stenmark, Jonas Eberhard, Gunnar Edman, Fiona Gaughran, Erik Jedenius
Rok vydání: 2022
Předmět:
Zdroj: Nordic Journal of Psychiatry. 77:172-178
ISSN: 1502-4725
0803-9488
DOI: 10.1080/08039488.2022.2077434
Popis: Serious mental illnesses (SMIs) exert a considerable financial burden on health-care systems. In this study, the resource utilization in mental illness (RUMI) tool was developed and employed to evaluate resource utilization in patients with SMI.Data from 107 patients with SMI treated in four psychiatric outpatient clinics in Sweden were collected. The relationships between costs for physical and psychiatric care, social services, and the justice system, to self-reported health and quality of life, educational level, Global Assessment of Functioning (GAF), the Clinical Global Impressions scale score (CGI), and body mass index (BMI) were studied.Sixteen out of 107 patients accounted for 74% of the total costs. The mean and median cost for 6 months included in the survey for social services, family and social welfare and healthcare, psychiatric and physical treatment interventions, mean 8349 EUR, median 2599 EUR per patient (currency value for 2021). Education and psychosocial function (GAF) were both negatively correlated with costs for the social services (education,The RUMI scale was acceptable and enabled estimation of resource utilization in a comparable manner across different care settings. Such comparable data have potential to provide a basis for budgeting and resource allocation.
Databáze: OpenAIRE