A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan
Schizophrenia is a chronic disease that places tremendous costs and burden on patients, families, and communities. The purpose of this study was to compare the cost and effectiveness of a hospital-based home care model and a traditional community care model for schizophrenia in Taiwan using six prin...
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Veröffentlicht in: | Archives of psychiatric nursing 2001-12, Vol.15 (6), p.272-278 |
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container_title | Archives of psychiatric nursing |
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creator | Lin, Esther C-L Yin, Teresa J-C Kuo, Benjamin I-T Chang, W-Y Tsai, S-L |
description | Schizophrenia is a chronic disease that places tremendous costs and burden on patients, families, and communities. The purpose of this study was to compare the cost and effectiveness of a hospital-based home care model and a traditional community care model for schizophrenia in Taiwan using six principles of cost-effectiveness analysis. Based on the health care provider's analytic perspective, four effectiveness indicators and four service costs were identified and measured, and the ratio of average cost value to effectiveness score for each patient was calculated. According to that ratio, the hospital-based home care model was more cost-effective. The results suggest that the hospital-based outreach home care model is a cost-effective way to care for patients and their family in the community. |
doi_str_mv | 10.1053/apnu.2001.28688 |
format | Article |
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The results suggest that the hospital-based outreach home care model is a cost-effective way to care for patients and their family in the community.</description><identifier>ISSN: 0883-9417</identifier><identifier>EISSN: 1532-8228</identifier><identifier>DOI: 10.1053/apnu.2001.28688</identifier><identifier>PMID: 11735078</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Community Mental Health Services - economics ; Community Mental Health Services - standards ; Community-Institutional Relations ; Cost-Benefit Analysis ; Direct Service Costs - statistics & numerical data ; Female ; Health Care Costs - statistics & numerical data ; Health Services Research ; Home Care Services, Hospital-Based - economics ; Home Care Services, Hospital-Based - standards ; Hospitalization - economics ; Hospitalization - statistics & numerical data ; Humans ; Male ; Middle Aged ; Models, Organizational ; Nursing ; Program Evaluation ; Quality Indicators, Health Care ; Schizophrenia - therapy ; Sensitivity and Specificity ; Taiwan ; Treatment Outcome</subject><ispartof>Archives of psychiatric nursing, 2001-12, Vol.15 (6), p.272-278</ispartof><rights>2001</rights><rights>Copyright 2001 by W.B. Saunders Company</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d2da80e6f2c859172a85fdf2982b8f8aa4a1fed354ca816c9e336926888173203</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/apnu.2001.28688$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11735078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Esther C-L</creatorcontrib><creatorcontrib>Yin, Teresa J-C</creatorcontrib><creatorcontrib>Kuo, Benjamin I-T</creatorcontrib><creatorcontrib>Chang, W-Y</creatorcontrib><creatorcontrib>Tsai, S-L</creatorcontrib><title>A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan</title><title>Archives of psychiatric nursing</title><addtitle>Arch Psychiatr Nurs</addtitle><description>Schizophrenia is a chronic disease that places tremendous costs and burden on patients, families, and communities. 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The results suggest that the hospital-based outreach home care model is a cost-effective way to care for patients and their family in the community.</description><subject>Adult</subject><subject>Community Mental Health Services - economics</subject><subject>Community Mental Health Services - standards</subject><subject>Community-Institutional Relations</subject><subject>Cost-Benefit Analysis</subject><subject>Direct Service Costs - statistics & numerical data</subject><subject>Female</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health Services Research</subject><subject>Home Care Services, Hospital-Based - economics</subject><subject>Home Care Services, Hospital-Based - standards</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Organizational</subject><subject>Nursing</subject><subject>Program Evaluation</subject><subject>Quality Indicators, Health Care</subject><subject>Schizophrenia - therapy</subject><subject>Sensitivity and Specificity</subject><subject>Taiwan</subject><subject>Treatment Outcome</subject><issn>0883-9417</issn><issn>1532-8228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90c1PHCEYBnDSaOpqe-6t4aSnWfkYBuZoTKsmJl70TFh46dLswAgzu7F_vWx3k57siYT3x5PwPgh9o2RJieDXZozzkhFCl0x1Sn1CCyo4axRj6gQtiFK86Vsqz9B5Kb8ro21HP6MzSiUXRKoFmm-wTcNocigp4uQxeA92CluIUAo20dV5mfAKph1AxNMu4SE52JQ9tiYD9injEF3YBjeber8L0xoXuw5_0rjOEIPBmzqMv6rCzybsTPyCTn2l8PV4XqCXnz-eb--bx6e7h9ubx8ZyKabGMWcUgc4zq0RPJTNKeOdZr9hKeWVMa6gHx0VrjaKd7YHzrmd1Eap-kBF-ga4OuWNOrzOUSQ-hWNhsTIQ0Fy27lgopWlnl5f8l44xLTiu8PkCbUykZvB5zGEx-05TofSd634ned6L_dlJffD9Gz6sB3D9_LKGC_gDqVmEbIOtiA0QLLuTahXYpfBj-DjSvnLo</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Lin, Esther C-L</creator><creator>Yin, Teresa J-C</creator><creator>Kuo, Benjamin I-T</creator><creator>Chang, W-Y</creator><creator>Tsai, S-L</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20011201</creationdate><title>A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan</title><author>Lin, Esther C-L ; Yin, Teresa J-C ; Kuo, Benjamin I-T ; Chang, W-Y ; Tsai, S-L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d2da80e6f2c859172a85fdf2982b8f8aa4a1fed354ca816c9e336926888173203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Community Mental Health Services - economics</topic><topic>Community Mental Health Services - standards</topic><topic>Community-Institutional Relations</topic><topic>Cost-Benefit Analysis</topic><topic>Direct Service Costs - statistics & numerical data</topic><topic>Female</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Health Services Research</topic><topic>Home Care Services, Hospital-Based - economics</topic><topic>Home Care Services, Hospital-Based - standards</topic><topic>Hospitalization - economics</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Organizational</topic><topic>Nursing</topic><topic>Program Evaluation</topic><topic>Quality Indicators, Health Care</topic><topic>Schizophrenia - therapy</topic><topic>Sensitivity and Specificity</topic><topic>Taiwan</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Esther C-L</creatorcontrib><creatorcontrib>Yin, Teresa J-C</creatorcontrib><creatorcontrib>Kuo, Benjamin I-T</creatorcontrib><creatorcontrib>Chang, W-Y</creatorcontrib><creatorcontrib>Tsai, S-L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Archives of psychiatric nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Esther C-L</au><au>Yin, Teresa J-C</au><au>Kuo, Benjamin I-T</au><au>Chang, W-Y</au><au>Tsai, S-L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan</atitle><jtitle>Archives of psychiatric nursing</jtitle><addtitle>Arch Psychiatr Nurs</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>15</volume><issue>6</issue><spage>272</spage><epage>278</epage><pages>272-278</pages><issn>0883-9417</issn><eissn>1532-8228</eissn><abstract>Schizophrenia is a chronic disease that places tremendous costs and burden on patients, families, and communities. The purpose of this study was to compare the cost and effectiveness of a hospital-based home care model and a traditional community care model for schizophrenia in Taiwan using six principles of cost-effectiveness analysis. Based on the health care provider's analytic perspective, four effectiveness indicators and four service costs were identified and measured, and the ratio of average cost value to effectiveness score for each patient was calculated. According to that ratio, the hospital-based home care model was more cost-effective. The results suggest that the hospital-based outreach home care model is a cost-effective way to care for patients and their family in the community.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11735078</pmid><doi>10.1053/apnu.2001.28688</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Adult Community Mental Health Services - economics Community Mental Health Services - standards Community-Institutional Relations Cost-Benefit Analysis Direct Service Costs - statistics & numerical data Female Health Care Costs - statistics & numerical data Health Services Research Home Care Services, Hospital-Based - economics Home Care Services, Hospital-Based - standards Hospitalization - economics Hospitalization - statistics & numerical data Humans Male Middle Aged Models, Organizational Nursing Program Evaluation Quality Indicators, Health Care Schizophrenia - therapy Sensitivity and Specificity Taiwan Treatment Outcome |
title | A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan |
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