The cost of Medicare-funded medical and pharmaceutical services for mental disorders in children and adolescents in Australia.

Autor: Long Khanh-Dao Le, Sophy Shih, Scott Richards-Jones, Mary Lou Chatterton, Lidia Engel, Christopher Stevenson, David Lawrence, Genevieve Pepin, Cathrine Mihalopoulos
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: PLoS ONE, Vol 16, Iss 4, p e0249902 (2021)
Druh dokumentu: article
ISSN: 1932-6203
94341974
DOI: 10.1371/journal.pone.0249902
Popis: ObjectiveTo examine the health care costs associated with mental disorders and subthreshold mental disorders within a nationally representative sample of children and adolescents in Australia.MethodData were derived from the Young Minds Matter Survey (N = 6,310). Mental disorders were classified using the Diagnostic Interview Schedule for Children Version IV. Participant data were linked to administrative data on health care costs. Adjusted generalized linear regression models and two-part models were used to estimate mean differences in costs between those with a mental disorder or subthreshold disorder and those without.ResultsCosts associated with health care attendances and medications were higher for children and adolescents with mental disorders and subthreshold mental disorders compared to those without a mental disorder. The additional population health care costs due to mental disorders amounted to AUD$234 million annually in children and adolescents, of which approximately 16% was attributed to out-of-pocket costs. Findings showed that those with subthreshold mental disorders or comorbid mental disorders have substantial additional costs of Medicare-funded medical and pharmaceutical services.Conclusion and implicationMental disorders in children and adolescents are associated with significant health care costs. Further research is needed to ensure that this population is receiving effective and efficient care.
Databáze: Directory of Open Access Journals
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