Health service costs and their association with functional impairment among adults receiving integrated mental health care in five low- and middle-income countries: the PRIME cohort study.

Health Policy and Planning
Dan ChisholmCrick Lund

Abstract

This study examines the level and distribution of service costs-and their association with functional impairment at baseline and over time-for persons with mental disorder receiving integrated primary mental health care. The study was conducted over a 12-month follow-up period in five low- and middle-income countries participating in the Programme for Improving Mental health carE study (Ethiopia, India, Nepal, South Africa and Uganda). Data were drawn from a multi-country intervention cohort study, made up of adults identified by primary care providers as having alcohol use disorders, depression, psychosis and, in the three low-income countries, epilepsy. Health service, travel and time costs, including any out-of-pocket (OOP) expenditures by households, were calculated (in US dollars for the year 2015) and assessed at baseline as well as prospectively using linear regression for their association with functional impairment. Cohort samples were characterized by low levels of educational attainment (Ethiopia and Uganda) and/or high levels of unemployment (Nepal, South Africa and Uganda). Total health service costs per case for the 3 months preceding baseline assessment averaged more than US$20 in South Africa, $10 in Nepal and U...Continue Reading

References

Sep 11, 2002·General Hospital Psychiatry·Gregory E SimonUNKNOWN LIDO Group
Sep 7, 2007·Lancet·D ChisholmM Tomlinson
Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
Nov 16, 2010·Bulletin of the World Health Organization·T Bedirhan UstünUNKNOWN WHO/NIH Joint Project
Jul 8, 2011·Nature·Pamela Y CollinsDan J Stein
Apr 4, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Mary J De SilvaVikram Patel
Sep 27, 2013·Issues in Mental Health Nursing·Sandra P Thomas
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Charlotte HanlonVikram Patel
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Dan ChisholmCrick Lund
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Fred N KigoziVikram Patel
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Rahul ShidhayeVikram Patel
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·M J D JordansV Patel
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Abebaw FekaduCrick Lund
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Mary J De SilvaVikram Patel
Oct 9, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Inge PetersenVikram Patel

❮ Previous
Next ❯

Citations

Nov 27, 2020·Epidemiology and Psychiatric Sciences·Mark J D Jordans, Brandon A Kohrt
Apr 28, 2021·Evidence-based Mental Health·Roxanne KeynejadGraham Thornicroft
Apr 20, 2021·Frontiers in Sociology·Hana Shewamoltot Meshesha, Veronica Johnson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.