Cost-benefit of a depot neuroleptic clinic: 10 years' follow-up of functioning of a clinical-administrative model

V. Larach, R. Erazo, M. Bustos, R. Osorio, G. Corrales, F. Pizarro, R. Gallardo

Resultado de la investigación: Article

5 Citas (Scopus)

Resumen

The purpose of the study was to compare die costs of the hospitalizations of 205 psychotic patients before entering an outpatient Depot Neuroleptic Clinic (PreDNC) with the costs of the admissions of this group of patients, occurring over a 10-year follow-up period of functioning of the unit after entering the Depot Clinic (InDNC). The cost-benefit ratio and the operating costs of this outpatient unit were assessed. The average years of illness of the sample studied PreDNC and InDNC were 8.6±6.5 years and 7.1±3.1 years respectively (NS), which included a total of 671 hospitalizations (511 PreDNC and 160 InDNC). Hospitalizations PreDNC accounted for 47,600 inpatient days in contrast to 11,100 inpatient days InDNC, representing a reduction of 77% in the total costs of hospitalization: year/inpatient PreDNC US$223 versus US$51 InDNC. The ambulatory care cost in the InDNC period for the sample studied included 38,700 consultations, provided by a multidisciplinary team, and pharmacological expenses. The number of interventions given by the nurse assistants was fivefold (25,900) those given by the doctor (5,600) and threefold (7,900) those given by the nurse. However, the cost of nurse assistant intervention is 20% of that required for a physician and 25% of that for nurses. The DNC represented a clinical-administrative model with low operating costs and high cost-benefit ratio, being a suitable model in mental care policies addressing the long-term management of chronic psychotic patients. □ Cost-benefit, Deponeuroleptics, Organization, Schizophrenia.

Idioma originalEnglish
Páginas (desde-hasta)57-62
Número de páginas6
PublicaciónNordic Journal of Psychiatry
Volumen49
N.ºS35
DOI
EstadoPublished - 1995

Huella dactilar

Antipsychotic Agents
Cost-Benefit Analysis
Outpatients
Costs and Cost Analysis
Hospitalization
Nurses
Inpatients
Patient Admission
Ambulatory Care
Schizophrenia
Referral and Consultation
Organizations
Pharmacology
Physicians

ASJC Scopus subject areas

  • Psychiatry and Mental health

Citar esto

Larach, V. ; Erazo, R. ; Bustos, M. ; Osorio, R. ; Corrales, G. ; Pizarro, F. ; Gallardo, R. / Cost-benefit of a depot neuroleptic clinic : 10 years' follow-up of functioning of a clinical-administrative model. En: Nordic Journal of Psychiatry. 1995 ; Vol. 49, N.º S35. pp. 57-62.
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title = "Cost-benefit of a depot neuroleptic clinic: 10 years' follow-up of functioning of a clinical-administrative model",
abstract = "The purpose of the study was to compare die costs of the hospitalizations of 205 psychotic patients before entering an outpatient Depot Neuroleptic Clinic (PreDNC) with the costs of the admissions of this group of patients, occurring over a 10-year follow-up period of functioning of the unit after entering the Depot Clinic (InDNC). The cost-benefit ratio and the operating costs of this outpatient unit were assessed. The average years of illness of the sample studied PreDNC and InDNC were 8.6±6.5 years and 7.1±3.1 years respectively (NS), which included a total of 671 hospitalizations (511 PreDNC and 160 InDNC). Hospitalizations PreDNC accounted for 47,600 inpatient days in contrast to 11,100 inpatient days InDNC, representing a reduction of 77{\%} in the total costs of hospitalization: year/inpatient PreDNC US$223 versus US$51 InDNC. The ambulatory care cost in the InDNC period for the sample studied included 38,700 consultations, provided by a multidisciplinary team, and pharmacological expenses. The number of interventions given by the nurse assistants was fivefold (25,900) those given by the doctor (5,600) and threefold (7,900) those given by the nurse. However, the cost of nurse assistant intervention is 20{\%} of that required for a physician and 25{\%} of that for nurses. The DNC represented a clinical-administrative model with low operating costs and high cost-benefit ratio, being a suitable model in mental care policies addressing the long-term management of chronic psychotic patients. □ Cost-benefit, Deponeuroleptics, Organization, Schizophrenia.",
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Cost-benefit of a depot neuroleptic clinic : 10 years' follow-up of functioning of a clinical-administrative model. / Larach, V.; Erazo, R.; Bustos, M.; Osorio, R.; Corrales, G.; Pizarro, F.; Gallardo, R.

En: Nordic Journal of Psychiatry, Vol. 49, N.º S35, 1995, p. 57-62.

Resultado de la investigación: Article

TY - JOUR

T1 - Cost-benefit of a depot neuroleptic clinic

T2 - 10 years' follow-up of functioning of a clinical-administrative model

AU - Larach, V.

AU - Erazo, R.

AU - Bustos, M.

AU - Osorio, R.

AU - Corrales, G.

AU - Pizarro, F.

AU - Gallardo, R.

PY - 1995

Y1 - 1995

N2 - The purpose of the study was to compare die costs of the hospitalizations of 205 psychotic patients before entering an outpatient Depot Neuroleptic Clinic (PreDNC) with the costs of the admissions of this group of patients, occurring over a 10-year follow-up period of functioning of the unit after entering the Depot Clinic (InDNC). The cost-benefit ratio and the operating costs of this outpatient unit were assessed. The average years of illness of the sample studied PreDNC and InDNC were 8.6±6.5 years and 7.1±3.1 years respectively (NS), which included a total of 671 hospitalizations (511 PreDNC and 160 InDNC). Hospitalizations PreDNC accounted for 47,600 inpatient days in contrast to 11,100 inpatient days InDNC, representing a reduction of 77% in the total costs of hospitalization: year/inpatient PreDNC US$223 versus US$51 InDNC. The ambulatory care cost in the InDNC period for the sample studied included 38,700 consultations, provided by a multidisciplinary team, and pharmacological expenses. The number of interventions given by the nurse assistants was fivefold (25,900) those given by the doctor (5,600) and threefold (7,900) those given by the nurse. However, the cost of nurse assistant intervention is 20% of that required for a physician and 25% of that for nurses. The DNC represented a clinical-administrative model with low operating costs and high cost-benefit ratio, being a suitable model in mental care policies addressing the long-term management of chronic psychotic patients. □ Cost-benefit, Deponeuroleptics, Organization, Schizophrenia.

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