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Service provision for people with schizophrenia. I. Clinical and economic perspective
The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation. Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothi...
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| Published in: | British journal of psychiatry 1997-08, Vol.171 (2), p.159-164 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c276t-66fd16d114d65d9e3c05e8497a64c25a81aed516ce10d583d474e1771fe0fe173 |
| container_end_page | 164 |
| container_issue | 2 |
| container_start_page | 159 |
| container_title | British journal of psychiatry |
| container_volume | 171 |
| creator | Lang, FH Forbes, JF Murray, GD Johnstone, EC |
| description | The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation.
Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively. |
| doi_str_mv | 10.1192/bjp.171.2.159 |
| format | article |
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Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.171.2.159</identifier><identifier>PMID: 9337953</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>England: RCP</publisher><subject><![CDATA[Adolescent ; Adult ; Caregivers ; Cohort Studies ; Community Health Nursing - statistics & numerical data ; Community Mental Health Services - economics ; Community Mental Health Services - statistics & numerical data ; Community Mental Health Services - supply & distribution ; Costs ; Day Care, Medical - statistics & numerical data ; Expenditures ; Family Practice - statistics & numerical data ; Female ; Health Care Costs ; Health Care Utilization ; Health services ; Hospitalization - statistics & numerical data ; Humans ; Male ; Mental health ; Mental Health Services ; Mental Health Services - economics ; Mental Health Services - statistics & numerical data ; Mental Health Services - supply & distribution ; Mental Patients ; Middle Aged ; Movement disorders ; Patient Acceptance of Health Care ; Patients ; Primary care ; Psychiatry ; Questionnaires ; Schizophrenia ; Schizophrenia - economics ; Schizophrenia - therapy ; Scotland ; Sociodemographics ; Socioeconomic Factors]]></subject><ispartof>British journal of psychiatry, 1997-08, Vol.171 (2), p.159-164</ispartof><rights>Copyright Headley Brothers, Ltd. Invicta Press Aug 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c276t-66fd16d114d65d9e3c05e8497a64c25a81aed516ce10d583d474e1771fe0fe173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/274850050/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/274850050?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12824,21372,21373,27900,27901,30975,33587,33588,33751,34506,34507,43708,44090,74191,74608</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9337953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lang, FH</creatorcontrib><creatorcontrib>Forbes, JF</creatorcontrib><creatorcontrib>Murray, GD</creatorcontrib><creatorcontrib>Johnstone, EC</creatorcontrib><title>Service provision for people with schizophrenia. I. Clinical and economic perspective</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation.
Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Caregivers</subject><subject>Cohort Studies</subject><subject>Community Health Nursing - statistics & numerical data</subject><subject>Community Mental Health Services - economics</subject><subject>Community Mental Health Services - statistics & numerical data</subject><subject>Community Mental Health Services - supply & distribution</subject><subject>Costs</subject><subject>Day Care, Medical - statistics & numerical data</subject><subject>Expenditures</subject><subject>Family Practice - statistics & numerical data</subject><subject>Female</subject><subject>Health Care Costs</subject><subject>Health Care Utilization</subject><subject>Health services</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Mental health</subject><subject>Mental Health Services</subject><subject>Mental Health Services - economics</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Mental Health Services - supply & distribution</subject><subject>Mental Patients</subject><subject>Middle Aged</subject><subject>Movement disorders</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Primary care</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Schizophrenia</subject><subject>Schizophrenia - economics</subject><subject>Schizophrenia - therapy</subject><subject>Scotland</subject><subject>Sociodemographics</subject><subject>Socioeconomic Factors</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkUuLFDEURoMoY8_o0qUQXQxuqszNs2opjY-BARc665BJbllpqitl0t3D-OvN2I2IC13dXL6TQ8JHyAtgLUDP395ulhYMtLwF1T8iK5CGNyC1ekxWjDHTAFfsKTkvZVNXIbk5I2e9EKZXYkVuvmA-RI90yekQS0wzHVKmC6ZlQnoXdyMtfow_0jJmnKNr6VVL11Oco3cTdXOg6NOcttHXO7ks6HfxgM_Ik8FNBZ-f5gW5-fD-6_pTc_3549X63XXjudG7RushgA4AMmgVehSeKexkb5yWnivXgcOgQHsEFlQngjQSwRgYkA31IC7I5dFbX_99j2Vnt7F4nCY3Y9oXa3qhBDD5X1CD0pJ1D8Y3_wTBaDBMKdVX9PVf6Cbt81z_a7mRnWJMsQo1R8jnVErGwS45bl2-t8DsQ3-29letYLmFX9KXJ-n-dovhN30qrOavjvkYv413MaPNfin3fvzD8RORhKAR</recordid><startdate>199708</startdate><enddate>199708</enddate><creator>Lang, FH</creator><creator>Forbes, JF</creator><creator>Murray, GD</creator><creator>Johnstone, EC</creator><general>RCP</general><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope></search><sort><creationdate>199708</creationdate><title>Service provision for people with schizophrenia. I. Clinical and economic perspective</title><author>Lang, FH ; Forbes, JF ; Murray, GD ; Johnstone, EC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c276t-66fd16d114d65d9e3c05e8497a64c25a81aed516ce10d583d474e1771fe0fe173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Caregivers</topic><topic>Cohort Studies</topic><topic>Community Health Nursing - statistics & numerical data</topic><topic>Community Mental Health Services - economics</topic><topic>Community Mental Health Services - statistics & numerical data</topic><topic>Community Mental Health Services - supply & distribution</topic><topic>Costs</topic><topic>Day Care, Medical - statistics & numerical data</topic><topic>Expenditures</topic><topic>Family Practice - statistics & numerical data</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Health Care Utilization</topic><topic>Health services</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental Health Services</topic><topic>Mental Health Services - economics</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Mental Health Services - supply & distribution</topic><topic>Mental Patients</topic><topic>Middle Aged</topic><topic>Movement disorders</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Primary care</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Schizophrenia</topic><topic>Schizophrenia - economics</topic><topic>Schizophrenia - therapy</topic><topic>Scotland</topic><topic>Sociodemographics</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lang, FH</creatorcontrib><creatorcontrib>Forbes, JF</creatorcontrib><creatorcontrib>Murray, GD</creatorcontrib><creatorcontrib>Johnstone, EC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Sociology Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lang, FH</au><au>Forbes, JF</au><au>Murray, GD</au><au>Johnstone, EC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Service provision for people with schizophrenia. I. Clinical and economic perspective</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1997-08</date><risdate>1997</risdate><volume>171</volume><issue>2</issue><spage>159</spage><epage>164</epage><pages>159-164</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><coden>BJPYAJ</coden><abstract>The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation.
Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.</abstract><cop>England</cop><pub>RCP</pub><pmid>9337953</pmid><doi>10.1192/bjp.171.2.159</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1250 |
| ispartof | British journal of psychiatry, 1997-08, Vol.171 (2), p.159-164 |
| issn | 0007-1250 1472-1465 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79353104 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge Journals Online; Sociology Collection; Sociological Abstracts; ProQuest Social Science Premium Collection |
| subjects | Adolescent Adult Caregivers Cohort Studies Community Health Nursing - statistics & numerical data Community Mental Health Services - economics Community Mental Health Services - statistics & numerical data Community Mental Health Services - supply & distribution Costs Day Care, Medical - statistics & numerical data Expenditures Family Practice - statistics & numerical data Female Health Care Costs Health Care Utilization Health services Hospitalization - statistics & numerical data Humans Male Mental health Mental Health Services Mental Health Services - economics Mental Health Services - statistics & numerical data Mental Health Services - supply & distribution Mental Patients Middle Aged Movement disorders Patient Acceptance of Health Care Patients Primary care Psychiatry Questionnaires Schizophrenia Schizophrenia - economics Schizophrenia - therapy Scotland Sociodemographics Socioeconomic Factors |
| title | Service provision for people with schizophrenia. I. Clinical and economic perspective |
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