Determinanten direkter Kosten bei persistierender Positivsymptomatik psychotischer Erkrankungen
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Determinanten direkter Kosten bei persistierender Positivsymptomatik psychotischer Erkrankungen. / Konnopka, Alexander; Stuhldreher, Nina; Klingberg, Stefan; Wittorf, Andreas; Bechdolf, Andreas; Müller, Bernhard W; Sartory, Gudrun; Wagner, Michael; Wiedemann, Georg; Wölwer, Wolfgang; Heinrich, Sven; König, Hans-Helmut.
In: PSYCHIAT PRAX, Vol. 41, No. 4, 01.05.2014, p. 215-20.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Determinanten direkter Kosten bei persistierender Positivsymptomatik psychotischer Erkrankungen
AU - Konnopka, Alexander
AU - Stuhldreher, Nina
AU - Klingberg, Stefan
AU - Wittorf, Andreas
AU - Bechdolf, Andreas
AU - Müller, Bernhard W
AU - Sartory, Gudrun
AU - Wagner, Michael
AU - Wiedemann, Georg
AU - Wölwer, Wolfgang
AU - Heinrich, Sven
AU - König, Hans-Helmut
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2014/5/1
Y1 - 2014/5/1
N2 - OBJECTIVE: To analyze direct costs and cost determinants in psychotic patients with persistent positive symptoms (PPS).METHODS: A total of 330 patients with PPS were recruited via 6 university clinics and interviewed about service utilization in the previous 3 months. After monetary valuation, costs were analyzed via generalized linear mixed models with gamma distribution and log-link function to identify determinants of direct costs.RESULTS: The mean costs were 7,065 € and resulted predominantly from psychiatric hospital care (63 %), assisted living (17 %) and complementary services (8 %). We found statistically significant associations between direct costs and an increasing score of the negative subscale of the Positive and Negative Syndrome Scale (+ 2,484 € per point, p < 0.001) and experiencing less than one social contact per week (- 2,272 €, p = 0.003).CONCLUSION: PPS incurred substantial direct costs which primarily resulted from hospital treatment, and were strongly associated with symptom severity.
AB - OBJECTIVE: To analyze direct costs and cost determinants in psychotic patients with persistent positive symptoms (PPS).METHODS: A total of 330 patients with PPS were recruited via 6 university clinics and interviewed about service utilization in the previous 3 months. After monetary valuation, costs were analyzed via generalized linear mixed models with gamma distribution and log-link function to identify determinants of direct costs.RESULTS: The mean costs were 7,065 € and resulted predominantly from psychiatric hospital care (63 %), assisted living (17 %) and complementary services (8 %). We found statistically significant associations between direct costs and an increasing score of the negative subscale of the Positive and Negative Syndrome Scale (+ 2,484 € per point, p < 0.001) and experiencing less than one social contact per week (- 2,272 €, p = 0.003).CONCLUSION: PPS incurred substantial direct costs which primarily resulted from hospital treatment, and were strongly associated with symptom severity.
KW - Adult
KW - Combined Modality Therapy
KW - Disability Evaluation
KW - Female
KW - Germany
KW - Health Expenditures
KW - Hospitals, Psychiatric
KW - Hospitals, University
KW - Humans
KW - Linear Models
KW - Male
KW - National Health Programs
KW - Needs Assessment
KW - Psychiatric Status Rating Scales
KW - Schizophrenia
KW - Schizophrenic Psychology
U2 - 10.1055/s-0033-1349463
DO - 10.1055/s-0033-1349463
M3 - SCORING: Zeitschriftenaufsatz
C2 - 24089318
VL - 41
SP - 215
EP - 220
JO - PSYCHIAT PRAX
JF - PSYCHIAT PRAX
SN - 0303-4259
IS - 4
ER -