第一次精神病发作的协调专科护理的成本:微成本分析
Saira Nawaz1, Kyle J Moon1, Kathryn A Hasenstab1
1Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.
针对第一发精神病的协调专科护理 (CSC) 每年每名参与者约为17,810美元. 这些成本的很大一部分,平均为61%,是不可偿还的,这凸显了需要新的融资解决方案.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 心理健康经济学 心理健康经济学
背景情况:
- 第一发精神病 (FEP) 需要专门的干预.
- 协调专科护理 (CSC) 是一种基于证据的FEP治疗模式.
- 了解CSC的经济方面对于可持续的服务提供至关重要.
研究的目的:
- 测量和描述与在俄俄州为患有第一发精神病 (FEP) 的人提供协调专科护理 (CSC) 相关的成本.
- 在CSC计划中确定关键的成本驱动因素.
- 探索 CSC 潜在的财务挑战和解决方案.
主要方法:
- 使用微成本工具估计人员和非人员成本.
- 从七个CSC项目收集数据,服务于俄俄州的511名参与者.
- 计算每位参与者的平均年度成本和非可计费成本的比例.
主要成果:
- 据估计,CSC每位参与者的平均年度成本为17.810美元.
- 大约61%的年度CSC项目成本是不可计费的.
- 主要成本驱动因素包括设施费用,行政职责和社会服务.
结论:
- 对于FEP的CSC项目,需要承担大量的不可退还费用.
- 设施,行政和社会服务组成部分是重要的成本驱动因素.
- 新的融资模式是必要的,以解决补偿差距,并确保CSC计划的可行性.
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