实施基于证据的干预措施的成本,以支持青少年更安全地使用抗精神病药物
Laura J Chavez1, Julie E Richards2,3, Paul Fishman3
1Center for Child Health Equity and Outcomes Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. laura.chavez@nationwidechildrens.org.
Administration and policy in mental health
|June 1, 2023
概括
为使用抗精神病药物的青少年实施精神病咨询和导航计划,平均每名患者花费2,128美元. 这包括EHR工具,精神病医生咨询和行为健康导航,以更安全地使用药物.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 抗精神病药物越来越多地被处方给儿童和青少年.
- 这些药物的安全和有针对性的使用需要强大的临床支持系统.
- 估计实施成本对于医疗保健系统规划此类计划至关重要.
研究的目的:
- 估计一个临床计划的启动和持续成本,以支持在3至17岁的年轻人中更安全地使用抗精神病药物.
- 分析成本组件,包括EHR决策支持,精神科咨询和行为健康导航.
主要方法:
- 在4个医疗系统进行了成本分析,用于精神病咨询和导航计划.
- 数据包括来自研究记录和运动时间报告的1年时间内的劳动力和非劳动力成本.
- 从卫生系统的角度分析成本,包括启动阶段和正在进行的阶段.
主要成果:
- 每个卫生系统的平均总启动成本为34,007美元,持续成本为每年185,174美元.
- 每名患者的平均总费用为2,128.8美元.
- 关键的持续劳动力成本包括基本健康 (901美元/患者) 和儿童/青少年精神科医生的咨询 (659美元/患者).
结论:
- 这项研究提供了实施针对服用抗精神病药物的青少年全面支持计划的基本成本估计.
- 这些发现可以指导卫生系统在资源分配方面为更安全的精神药物药物管理提供指导.
- 该计划整合了EHR工具,精神病专业知识和导航服务,以改善患者的治疗结果.
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