Economic implications of shared care arrangements. A primary care based study of patients in an inner city sample

Social Psychiatry and Psychiatric Epidemiology
P McCroneS Nourmand

Abstract

Providing care for people with serious and enduring mental health problems has been prioritised in a number of countries. It has been recognised that good liaison between primary and secondary care services is required for care to be effective. However, little is known about the resource implications of different levels of 'shared care'. The aim of this study is to compare service use and costs of different levels of shared care between primary and secondary care services. Service use data were collected at baseline and one year later for participants with severe mental illness and costs were calculated. Levels of shared care were categorised into low, medium and high tertiles. Comparisons were made between the groups using multivariate analysis to control for participant characteristics. Participants receiving a low level of shared care used residential care less and were less likely to have contacts with a psychiatrist or social worker than those receiving medium or high levels of shared care. Mean costs for a low level of shared care were significantly lower than for a medium level (a difference of pound 2606, 90% CI pound 452 to pound 4923), but not significantly lower than for a high level of shared care (difference of pou...Continue Reading

Citations

Jan 7, 2020·International Journal of Evidence-based Healthcare·Dominiek CoatesVirginia Schmied
Jun 10, 2009·Family Practice·Sarah CroweJudith A Cantrill

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