Direct medical costs associated with schizophrenia relapses in health care services in the city of São Paulo

Revista de Saúde Pública

Claudiane Salles Daltio²  Jair Jesus Mari¹  Marcos Bosi Ferraz¹ 

[1] ,Universidade Federal de São Paulo Escola Paulista de Medicina Programa de Pós-Graduação em PsiquiatriaSão Paulo SP ,Brasil

关键词: Schizophrenia;    Recurrence;    Direct Service Costs;    Health Care Costs;    Mental Health Services;    Esquizofrenia;    Recidiva;    Custos Diretos de Serviços;    Custos de Cuidados de Saúde;    Serviços de Saúde Mental;    Esquizofrenia;    Recurrencia;    Costos Directos de Servicios;    Costos de la Atención en Salud;    Servicios de Salud Mental;   

DOI  :  10.1590/S0034-89102010005000049

来源: SciELO

【 摘 要 】

OBJECTIVE: To assess direct medical costs associated with schizophrenia relapses in mental health services. METHODS: The study was conducted in three health facilities in the city of São Paulo: a public state hospital; a Brazilian National Health System (SUS)-contracted hospital; and a community mental health center. Medical records of 90 patients with schizophrenia who received care in 2006 were reviewed. Information on inpatient expenditures was collected and used for cost estimates. RESULTS: Mean direct medical cost of schizophrenia relapses per patient was US$ 4,083.50 (R$ 8,167.58) in the public state hospital; US$ 2,302.76 (R$ 4,605.46) in the community mental health center; and US$ 1,198.50 (R$ 2,397.74) in the SUS-affiliated hospital. The main component was daily inpatient room rates (87% - 98%). Medication costs varied depending on the use of typical or atypical antipsychotic drugs. Atypical antipsychotic drugs were more often used in the community mental health center. CONCLUSIONS: Costs associated with schizophrenia relapses support investments in antipsychotic drugs and strategies to reduce disease relapse and the need for mental health inpatient services. Treating patients in a community mental health center was associated with medium costs and added the benefit of not depriving these patients from family life.

【 授权许可】

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