Managing complex patients on a medical psychiatric unit: An observational study of university hospital costs associated with medical service use, length of stay, and psychiatric intervention

Abstract Objective Although there is a suggestion that the medical psychiatric unit (MPU) may reduce length of hospital stay (LOS), little is known about costs in terms of medical service use and psychiatric interventions in MPU care. Method A record linkage study was conducted, linking cost data of...

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Bibliographic Details
Published in:Journal of psychosomatic research 2010-03, Vol.68 (3), p.295-302
Main Authors: Leue, Carsten, Driessen, Ger, Strik, Jacqueline J, Drukker, Marjan, Stockbrügger, Reinhold W, Kuijpers, Petra M, Masclee, Ad A, van Os, Jim
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Comorbidity
Cost benefit analysis
Costs and Cost Analysis
Female
Health Care Costs
Health service research
Health Services - economics
Health Services - utilization
Health Status
Hospital units
Hospitalization
Hospitals, University - economics
Humans
Institution therapy. Inpatient treatment
Integrated health care
Length of stay
Length of Stay - economics
Length of Stay - statistics & numerical data
Male
Managed care programs
Medical care costs
Medical sciences
Medical services
Mental Disorders - economics
Mental Disorders - rehabilitation
Mental Health Services - economics
Mental Health Services - utilization
Mentally ill people
Middle Aged
Netherlands - epidemiology
Psychiatric Department, Hospital - economics
Psychiatric units
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychophysiologic Disorders - economics
Psychophysiologic Disorders - rehabilitation
Treatments
Young Adult
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Summary:Abstract Objective Although there is a suggestion that the medical psychiatric unit (MPU) may reduce length of hospital stay (LOS), little is known about costs in terms of medical service use and psychiatric interventions in MPU care. Method A record linkage study was conducted, linking cost data of hospital medical service use, LOS, and hospital psychiatric interventions to patients admitted to the MPU of the Maastricht University Medical Centre (MUMC) between 1998 and 2004. The data set was analyzed to enable comparison between cost changes of the same complex patient population following either MPU index admission or index admissions to reference MUMC medical wards. Results Comparisons revealed lower costs of medical service use in favor of the MPU (−€104; 95% CI −€174 to −€35; P
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2009.04.010