The functionality and economic costs of outpatients with schizophrenia in Taiwan

I. Hui Lee, Po See Chen, Yen Kuang Yang, Yi Cheng Liao, Yih Dar Lee, Tzung Lieh Yeh, Ling Ling Yeh, Shu Hui Cheng, Ching Lin Chu

研究成果: Article

21 引文 (Scopus)

摘要

The aims of this study were to investigate the economic costs of outpatients with schizophrenia in Taiwan, and to survey factors that influence the costs. The direct costs were defined as the costs associated with psychiatric services and other medical treatment. The indirect costs were estimated using the Human Capital Method. Patients' characteristics, including sex, age, duration of education, duration of illness, frequency of hospitalization, type of antipsychotic medication, severity of extrapyramidal side effects caused by antipsychotic medication, and global functions, were used to estimate the costs. The average annual total cost was approximately US$16,576 per patient. The direct and indirect costs were 13% and 87% of the total costs, respectively. Among the direct costs, folk therapy ranked third, just behind prescription drugs and acute ward hospitalization. The productivity loss of both the patients and their caregivers was the major component of the indirect costs. The patient's age and global functions had a significantly negative relationship with the direct costs. The severity of extrapyramidal side effects, type of antipsychotic medication, and the patient's illness duration correlated positively with the indirect costs, while the patient's global function correlated negatively with the indirect costs. Overall, the indirect costs of treating schizophrenia were higher than the direct costs. Improving patients' functionality and decreasing caregivers' burden are essential to reducing costs.

原文English
頁(從 - 到)306-315
頁數10
期刊Psychiatry Research
158
發行號3
DOIs
出版狀態Published - 2008 四月 15

指紋

Taiwan
Schizophrenia
Outpatients
Economics
Costs and Cost Analysis
Antipsychotic Agents
Caregivers
Hospitalization
Prescription Drugs
Sex Characteristics
Psychiatry

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

引用此文

Lee, I. Hui ; Chen, Po See ; Yang, Yen Kuang ; Liao, Yi Cheng ; Lee, Yih Dar ; Yeh, Tzung Lieh ; Yeh, Ling Ling ; Cheng, Shu Hui ; Chu, Ching Lin. / The functionality and economic costs of outpatients with schizophrenia in Taiwan. 於: Psychiatry Research. 2008 ; 卷 158, 編號 3. 頁 306-315.
@article{647d5500fd2b4997b0c4e306f6fbd508,
title = "The functionality and economic costs of outpatients with schizophrenia in Taiwan",
abstract = "The aims of this study were to investigate the economic costs of outpatients with schizophrenia in Taiwan, and to survey factors that influence the costs. The direct costs were defined as the costs associated with psychiatric services and other medical treatment. The indirect costs were estimated using the Human Capital Method. Patients' characteristics, including sex, age, duration of education, duration of illness, frequency of hospitalization, type of antipsychotic medication, severity of extrapyramidal side effects caused by antipsychotic medication, and global functions, were used to estimate the costs. The average annual total cost was approximately US$16,576 per patient. The direct and indirect costs were 13{\%} and 87{\%} of the total costs, respectively. Among the direct costs, folk therapy ranked third, just behind prescription drugs and acute ward hospitalization. The productivity loss of both the patients and their caregivers was the major component of the indirect costs. The patient's age and global functions had a significantly negative relationship with the direct costs. The severity of extrapyramidal side effects, type of antipsychotic medication, and the patient's illness duration correlated positively with the indirect costs, while the patient's global function correlated negatively with the indirect costs. Overall, the indirect costs of treating schizophrenia were higher than the direct costs. Improving patients' functionality and decreasing caregivers' burden are essential to reducing costs.",
author = "Lee, {I. Hui} and Chen, {Po See} and Yang, {Yen Kuang} and Liao, {Yi Cheng} and Lee, {Yih Dar} and Yeh, {Tzung Lieh} and Yeh, {Ling Ling} and Cheng, {Shu Hui} and Chu, {Ching Lin}",
year = "2008",
month = "4",
day = "15",
doi = "10.1016/j.psychres.2006.10.004",
language = "English",
volume = "158",
pages = "306--315",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

The functionality and economic costs of outpatients with schizophrenia in Taiwan. / Lee, I. Hui; Chen, Po See; Yang, Yen Kuang; Liao, Yi Cheng; Lee, Yih Dar; Yeh, Tzung Lieh; Yeh, Ling Ling; Cheng, Shu Hui; Chu, Ching Lin.

於: Psychiatry Research, 卷 158, 編號 3, 15.04.2008, p. 306-315.

研究成果: Article

TY - JOUR

T1 - The functionality and economic costs of outpatients with schizophrenia in Taiwan

AU - Lee, I. Hui

AU - Chen, Po See

AU - Yang, Yen Kuang

AU - Liao, Yi Cheng

AU - Lee, Yih Dar

AU - Yeh, Tzung Lieh

AU - Yeh, Ling Ling

AU - Cheng, Shu Hui

AU - Chu, Ching Lin

PY - 2008/4/15

Y1 - 2008/4/15

N2 - The aims of this study were to investigate the economic costs of outpatients with schizophrenia in Taiwan, and to survey factors that influence the costs. The direct costs were defined as the costs associated with psychiatric services and other medical treatment. The indirect costs were estimated using the Human Capital Method. Patients' characteristics, including sex, age, duration of education, duration of illness, frequency of hospitalization, type of antipsychotic medication, severity of extrapyramidal side effects caused by antipsychotic medication, and global functions, were used to estimate the costs. The average annual total cost was approximately US$16,576 per patient. The direct and indirect costs were 13% and 87% of the total costs, respectively. Among the direct costs, folk therapy ranked third, just behind prescription drugs and acute ward hospitalization. The productivity loss of both the patients and their caregivers was the major component of the indirect costs. The patient's age and global functions had a significantly negative relationship with the direct costs. The severity of extrapyramidal side effects, type of antipsychotic medication, and the patient's illness duration correlated positively with the indirect costs, while the patient's global function correlated negatively with the indirect costs. Overall, the indirect costs of treating schizophrenia were higher than the direct costs. Improving patients' functionality and decreasing caregivers' burden are essential to reducing costs.

AB - The aims of this study were to investigate the economic costs of outpatients with schizophrenia in Taiwan, and to survey factors that influence the costs. The direct costs were defined as the costs associated with psychiatric services and other medical treatment. The indirect costs were estimated using the Human Capital Method. Patients' characteristics, including sex, age, duration of education, duration of illness, frequency of hospitalization, type of antipsychotic medication, severity of extrapyramidal side effects caused by antipsychotic medication, and global functions, were used to estimate the costs. The average annual total cost was approximately US$16,576 per patient. The direct and indirect costs were 13% and 87% of the total costs, respectively. Among the direct costs, folk therapy ranked third, just behind prescription drugs and acute ward hospitalization. The productivity loss of both the patients and their caregivers was the major component of the indirect costs. The patient's age and global functions had a significantly negative relationship with the direct costs. The severity of extrapyramidal side effects, type of antipsychotic medication, and the patient's illness duration correlated positively with the indirect costs, while the patient's global function correlated negatively with the indirect costs. Overall, the indirect costs of treating schizophrenia were higher than the direct costs. Improving patients' functionality and decreasing caregivers' burden are essential to reducing costs.

UR - http://www.scopus.com/inward/record.url?scp=40149103093&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40149103093&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2006.10.004

DO - 10.1016/j.psychres.2006.10.004

M3 - Article

C2 - 18243334

AN - SCOPUS:40149103093

VL - 158

SP - 306

EP - 315

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

IS - 3

ER -