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Direct medical mental health care costs of schizophrenia in France, Germany and the United Kingdom – Findings from the European Schizophrenia Cohort (EuroSC)

Published online by Cambridge University Press:  16 April 2020

Dirk Heider ,
Sebastian Bernert ,
Hans-Helmut König ,
Herbert Matschinger ,
Theresa Hogh ,
Traolach S. Brugha ,
Paul E. Bebbington ,
Michel Azorin ,
Matthias C. Angermeyer  and
Mondher Toumi
Dirk Heider*
Affiliation:
Health Economic Research Unit, Department of Psychiatry, University of Leipzig, Germany
Sebastian Bernert
Affiliation:
Health Economic Research Unit, Department of Psychiatry, University of Leipzig, Germany
Hans-Helmut König
Affiliation:
Health Economic Research Unit, Department of Psychiatry, University of Leipzig, Germany
Herbert Matschinger
Affiliation:
Department of Psychiatry, University of Leipzig, Germany
Theresa Hogh
Affiliation:
Health Economic Research Unit, Department of Psychiatry, University of Leipzig, Germany
Traolach S. Brugha
Affiliation:
Section of Social and Epidemiological Psychiatry, University of Leicester, UK
Paul E. Bebbington
Affiliation:
Department of Mental Health Sciences, Royal Free and University College Medical School, London, UK
Michel Azorin
Affiliation:
Department of Psychiatry, CHU Sainte Marguerite, Marseilles, France
Matthias C. Angermeyer
Affiliation:
Center for Public Mental Health, Gösing am Wagram, Austria
Mondher Toumi
Affiliation:
Université de Lyon I, Lyon, France
*
*Corresponding author. Tel.: +49 341 97 24566; fax: +49 341 97 24569. E-mail address: heidd@medizin.uni-leipzig.de
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Abstract

Objectives

To quantify and compare the resource consumption and direct costs of medical mental health care of patients suffering from schizophrenia in France, Germany and the United Kingdom.

Methods

In the European Cohort Study of Schizophrenia, a naturalistic two-year follow-up study, patients were recruited in France (N = 288), Germany (N = 618), and the United Kingdom (N = 302). Data about the use of services and medication were collected. Unit cost data were obtained and transformed into United States Dollar Purchasing Power Parities (USD-PPP). Mean service use and costs were estimated using between-effects regression models.

Results

In the French/German/UK sample estimated means for a six-month period were respectively 5.7, 7.5 and 6.4 inpatient days, and 11.0, 1.3, and 0.7 day-clinic days. After controlling for age, sex, number of former hospitalizations and psychopathology (CGI score), mean costs were 3700/2815/3352 USD-PPP.

Conclusions

Service use and estimated costs varied considerably between countries. The greatest differences were related to day-clinic use. The use of services was not consistently higher in one country than in the others. Estimated costs did not necessarily reflect the quantity of service use, since unit costs for individual types of service varied considerably between countries.

Keywords

SchizophreniaCost of illnessHealth care utilizationService useLongitudinal study
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 4 , May 2009 , pp. 216 - 224
Copyright
Copyright © Elsevier Masson SAS 2009

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Footnotes

1

Both authors contributed equally to this work.

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