Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets

BMJ Open
Judith DamsHans-Helmut König

Abstract

Heavy alcohol use can cause somatic and mental diseases, affects patients' social life and is associated with social isolation, unemployment and reduced quality of life. Therefore, societal costs of alcohol dependence are expected to be high. The aim of this study was to estimate excess costs of patients with alcohol dependence diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria compared with individuals without alcohol dependence in Germany. In a secondary analysis, baseline data of patients with alcohol dependence enrolled in a randomised controlled trial (German Clinical Trials Register DRS00005035) were compared with data collected via a telephone survey from individuals without alcohol dependence and that had been matched by entropy balancing. Health service use was evaluated retrospectively for a 6-month period. Four German psychiatric university clinics (patients with alcohol dependence) and the German general adult population (individuals without alcohol dependence). n=236 adult patients with alcohol dependence and n=4687 adult individuals without alcohol dependence. The excess costs of health service use, absenteeism and unemployment of patients with alcohol dependence were c...Continue Reading

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Citations

May 28, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Agata ŁaszewskaJudit Simon
Mar 18, 2020·Journal of Clinical Medicine·Ricardo Jorge Dinis-Oliveira, Teresa Magalhães

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