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Analysis of hospital costs by morbidity group for patients with severe mental illness

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Analysis of hospital costs by morbidity group for patients with severe mental illness

dc.contributor.author	Caballer Tarazona, Vicent
dc.contributor.author	Zúñiga Lagares, Antonio
dc.contributor.author	Reyes Santias, Francisco
dc.date.accessioned	2022-05-18T15:04:34Z
dc.date.available	2022-05-18T15:04:34Z
dc.date.issued	2022
dc.identifier.uri	https://hdl.handle.net/10550/82840
dc.description.abstract	Objectives: The goal of this study is to analyse hospital costs and length of stay of patients admitted to psychiatric units in hospitals in a European region of the Mediterranean Arc. The aim is to identify the effects of comorbidities and other variables in order to create an explanatory cost model. Methods: In order to carry out the study, the Ministry of Health was asked to provide data on access to the mental health facilities of all hospitals in the region. Among other questions, this database identifies the most important diagnostic variables related to admission, like comorbidities, age and gender. The method used, based on the Manning-Mullahy algorithm, was linear regression. The results were measured by the statistical significance of the independent variables to determine which of them were valid to explain the cost of hospitalization. Results: Psychiatric inpatients can be divided into three main groups (psychotic, organic and neurotic), which have statistically significant differences in costs. The independent variables that were statistically significant (p <.05) and their respective beta and confidence intervals were: psychotic group (19,833.0 ± 317.3), organic group (9,878.4 ± 276.6), neurotic group (11,060.1 ± 287.6), circulatory system diseases (19,170 ± 517.6), injuries and poisoning (21,101.6 ± 738.7), substance abuse (20,580.6 ± 514, 6) and readmission (19,150.9 ± 555.4). Conclusions: Unlike most health services, access to psychiatric facilities does not correlate with comorbidities due to the specific nature of this specialization. Patients admitted to psychosis had higher costs and a higher number of average stays.
dc.language.iso	eng
dc.relation.ispartof	Annals of Medicine, 2022, vol. 54, num. 1, p. 858-866
dc.rights.uri	info:eu-repo/semantics/openAccess
dc.source	Caballer Tarazona, Vicent Zúñiga Lagares, Antonio Reyes Santias, Francisco 2022 Analysis of hospital costs by morbidity group for patients with severe mental illness Annals of Medicine 54 1 858 866
dc.subject	Hospitals Administració
dc.subject	Salut mental
dc.title	Analysis of hospital costs by morbidity group for patients with severe mental illness
dc.type	info:eu-repo/semantics/article
dc.date.updated	2022-05-18T15:04:34Z
dc.identifier.doi	https://doi.org/10.1080/07853890.2022.2048884
dc.identifier.idgrec	152865