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Costs for Schizopsychotic Patients in Sweden
Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Psychology.ORCID iD: 0000-0002-1088-9793
2009 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

199 patients in Western Sweden with chronic psychotic illness are studied. The aim is to provide up-to-date costs for a defined patient population with schizopsychotic disorders in Sweden. Patients have the diagnoses of schizophrenia, schizoaffective disorder or delusional disorders. We identify the actual clinical management of illness and explain cost variability. Costs are combined with information on outcomes and severity of the disorder.Total costs per patient-year amount to 62.320 Euro. Direct costs correspond to 41% and indirect costs to 59% of total costs. Inpatient and outpatient care corresponds to 7% each of total costs, while costs for special housing and assistance at home is estimated to 22% of total costs. Medication only corresponds to 3% of total costs.We conclude that costs differ between patients depending on illness severity. Also a reallocation has taken place during the last 15 years between different cost items, from direct costs to indirect costs and from in-patient care at hospitals to out-patient care and assistance at home. The main cost driver is indirect costs due to decreased working ability and premature death. Special housing and home-assistance is the second largest cost item. In-patient care corresponds to 7% of total costs, which 15 years ago amounted to 50% of total costs. This reflects the change in care of schizopsychotic patients. Instead of treating patients at institutions, patients are now to a large extent living in their own housing but often receiving some kind of assistance at home provided by the local municipality.

Place, publisher, year, edition, pages
2009.
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-10996OAI: oai:DiVA.org:kau-10996DiVA, id: diva2:494559
Conference
Poster presented at the EPA (European Psychiatric Association) 17th European Congress of Psychiatry, Lisbon, Portugal, January, 2009
Available from: 2012-02-08 Created: 2012-02-08 Last updated: 2015-09-02Bibliographically approved

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Hjärthag, Fredrik

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CiteExportLink to record
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Citation style
  • apa
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