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Rev Saude Publica. 2011 Feb;45(1):14-23. Epub 2010 Nov 12.

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

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  • 1Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil. csdaltio@yahoo.com

Erratum in

  • Rev Saude Publica. 2011 Apr;45(2):440.

Abstract

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.

PMID:
21085885
[PubMed - indexed for MEDLINE]
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