Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.
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Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.

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Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.

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dc.contributor.author Quintero, Javier
dc.contributor.author Ramos Quiroga, J.Antoni
dc.contributor.author San Sebastián, Javier
dc.contributor.author Montañés, Francisco
dc.contributor.author Fernández Jaén, Alberto
dc.contributor.author Martínez Raga, José
dc.contributor.author Garcia Giral, Marta
dc.contributor.author Graell, Montserrat
dc.contributor.author Mardomingo, Maria J.
dc.contributor.author Soutullo, César
dc.contributor.author Eiris, Jesús
dc.contributor.author Téllez, Montserrat
dc.contributor.author Pamias, Montserrat
dc.contributor.author Correas, Javier
dc.contributor.author Sabaté, Juncal
dc.contributor.author García Orti, Laura
dc.contributor.author Alda, Jose A.
dc.date.accessioned 2020-11-10T09:23:23Z
dc.date.available 2020-11-10T09:23:23Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/10550/76300
dc.description.abstract Background: Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental condition in childhood (5.3% to 7.1% worldwide prevalence), with substantial overall financial burden to children/adolescents, their families, and society. The aims of this study were to describe the clinical characteristics of children and adolescents with ADHD in Spain, estimate the associated direct/indirect costs of the disorder, and assess whether the characteristics and financial costs differed between children/adolescents adequately responding to currently available pharmacotherapies compared with children/adolescents for whom pharmacotherapies failed. Methods: This was a multicenter, cross-sectional, descriptive analysis conducted in 15 health units representative of the overall Spanish population. Data on demographic characteristics, socio-occupational status, social relationships, clinical variables of the disease, and pharmacological and non-pharmacological treatments received were collected in 321 children and adolescents with ADHD. Direct and indirect costs were estimated over one year from both a health care system and a societal perspective. Results: The estimated average cost of ADHD per year per child/adolescent was ¿5733 in 2012 prices; direct costs accounted for 60.2% of the total costs (¿3450). Support from a psychologist/educational psychologist represented 45.2% of direct costs and 27.2% of total costs. Pharmacotherapy accounted for 25.8% of direct costs and 15.5% of total costs. Among indirect costs (¿2283), 65.2% was due to caregiver expenses. The total annual costs were significantly higher for children/adolescents who responded poorly to pharmacological treatment (¿7654 versus ¿5517; P = 0.024), the difference being mainly due to significantly higher direct costs, particularly with larger expenses for non-pharmacological treatment (P = 0.012). Conclusions: ADHD has a significant personal, familial, and financial impact on the Spanish health system and society. Successful pharmacological intervention was associated with lower overall expenses in the management of the disorder.
dc.language.iso eng
dc.relation.ispartof Bmc Psychiatry, 2018, vol. 18, num. 1, p. 40
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Quintero, Javier Ramos Quiroga, J.Antoni San Sebastián, Javier Montañés, Francisco Fernández Jaén, Alberto Martínez Raga, José Garcia Giral, Marta Graell, Montserrat Mardomingo, Maria J. Soutullo, César Eiris, Jesús Téllez, Montserrat Pamias, Montserrat Correas, Javier Sabaté, Juncal García Orti, Laura Alda, Jose A. 2018 Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis. Bmc Psychiatry 18 1 40
dc.subject Psiquiatria
dc.subject Trastorns de l'atenció
dc.title Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.
dc.type info:eu-repo/semantics/article
dc.date.updated 2020-11-10T09:23:23Z
dc.identifier.doi https://doi.org/10.1186/s12888-017-1581-y
dc.identifier.idgrec 141199

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