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

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 psychi...

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Published in:Nordic journal of psychiatry 2023-02, Vol.77 (2), p.172-178
Main Authors: Stenmark, Richard, Eberhard, Jonas, Edman, Gunnar, Gaughran, Fiona, Jedenius, Erik
Format: Article
Language:English
Subjects:
Clinical Medicine
Health Care Service and Management, Health Policy and Services and Health Economy
Health economics
Health Sciences
Humans
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Hälsovetenskap
Klinisk medicin
Medical and Health Sciences
Medicin och hälsovetenskap
Mental Disorders - therapy
mental health
Outpatients
psychiatric care
Psychiatry
psychosis
Psykiatri
Quality of Life
Sweden
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container_title Nordic journal of psychiatry
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creator Stenmark, Richard
Eberhard, Jonas
Edman, Gunnar
Gaughran, Fiona
Jedenius, Erik
description 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, r=-0.207, p 
doi_str_mv 10.1080/08039488.2022.2077434
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subjects Clinical Medicine
Health Care Service and Management, Health Policy and Services and Health Economy
Health economics
Health Sciences
Humans
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Hälsovetenskap
Klinisk medicin
Medical and Health Sciences
Medicin och hälsovetenskap
Mental Disorders - therapy
mental health
Outpatients
psychiatric care
Psychiatry
psychosis
Psykiatri
Quality of Life
Sweden
title Resource utilization in mental illness - evaluation of an instrument for measuring direct costs of treatment for patients with severe mental illness (SMI)
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