Mental Health Cost Models: Refinements and Applications
This paper describes a 2-year study whose goal was to refine Burton Weisbrod's cost model for public programs for the chronically mentally ill. The authors made comprehensive cost assessments of all the resources, including treatment programs, used by a small sample of severely disturbed chroni...
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| Veröffentlicht in: | Medical care 1986-09, Vol.24 (9), p.857-867 |
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| container_issue | 9 |
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| container_title | Medical care |
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| creator | Dickey, Barbara McGuire, Thomas G. Cannon, Nancy L. Gudeman, Jon E. |
| description | This paper describes a 2-year study whose goal was to refine Burton Weisbrod's cost model for public programs for the chronically mentally ill. The authors made comprehensive cost assessments of all the resources, including treatment programs, used by a small sample of severely disturbed chronically ill patients. Refinement of the model included a method to assess capital costs of public facilities. The use of disaggregated patient information permitted analysis of cost differences between patients when adjusted for case mix. Patient costs over the study period ranged from $24,000 to $99,000. Patient characteristics and change in clinical status account for 30% of the variance. |
| doi_str_mv | 10.1097/00005650-198609000-00007 |
| format | Article |
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The authors made comprehensive cost assessments of all the resources, including treatment programs, used by a small sample of severely disturbed chronically ill patients. Refinement of the model included a method to assess capital costs of public facilities. The use of disaggregated patient information permitted analysis of cost differences between patients when adjusted for case mix. Patient costs over the study period ranged from $24,000 to $99,000. Patient characteristics and change in clinical status account for 30% of the variance.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-198609000-00007</identifier><identifier>PMID: 3020322</identifier><language>eng</language><publisher>United States: J. B. Lippincott Co</publisher><subject>Adult ; Aftercare - economics ; Capital costs ; Community Mental Health Centers - economics ; Cost allocation ; Cost estimates ; Cost estimation models ; Costs and Cost Analysis ; Diagnosis-Related Groups - economics ; Economic costs ; Female ; Health care costs ; Hospital costs ; Hospitalization ; Humans ; Maintenance costs ; Male ; Massachusetts ; Mental health ; Middle Aged ; Models, Theoretical ; Regression Analysis ; Schizophrenia - classification ; Schizophrenia - economics ; Total costs</subject><ispartof>Medical care, 1986-09, Vol.24 (9), p.857-867</ispartof><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3767-2a4d8e8277d6e8139afbbdfb63e65c946db03449807e3cd362624ca69a7bf433</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3764662$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3764662$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3020322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dickey, Barbara</creatorcontrib><creatorcontrib>McGuire, Thomas G.</creatorcontrib><creatorcontrib>Cannon, Nancy L.</creatorcontrib><creatorcontrib>Gudeman, Jon E.</creatorcontrib><title>Mental Health Cost Models: Refinements and Applications</title><title>Medical care</title><addtitle>Med Care</addtitle><description>This paper describes a 2-year study whose goal was to refine Burton Weisbrod's cost model for public programs for the chronically mentally ill. The authors made comprehensive cost assessments of all the resources, including treatment programs, used by a small sample of severely disturbed chronically ill patients. Refinement of the model included a method to assess capital costs of public facilities. The use of disaggregated patient information permitted analysis of cost differences between patients when adjusted for case mix. Patient costs over the study period ranged from $24,000 to $99,000. Patient characteristics and change in clinical status account for 30% of the variance.</description><subject>Adult</subject><subject>Aftercare - economics</subject><subject>Capital costs</subject><subject>Community Mental Health Centers - economics</subject><subject>Cost allocation</subject><subject>Cost estimates</subject><subject>Cost estimation models</subject><subject>Costs and Cost Analysis</subject><subject>Diagnosis-Related Groups - economics</subject><subject>Economic costs</subject><subject>Female</subject><subject>Health care costs</subject><subject>Hospital costs</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Maintenance costs</subject><subject>Male</subject><subject>Massachusetts</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Models, Theoretical</subject><subject>Regression Analysis</subject><subject>Schizophrenia - classification</subject><subject>Schizophrenia - economics</subject><subject>Total costs</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFOwzAMhiMEGmPwBiD1xK2QJmnccpsmYEibkNDuUdq4WkfajKbVxNvTrWOciA-Rf_u3pc-EBBF9iGgKj7R_sYxpGKWJpGmfhXsJzsg4ijn0skjOyZhSFodAIb0kV95vKI2Ax2xERpwyyhkbE1hi3WobzFHbdh3MnG-DpTNo_VPwgUVZY9U3-EDXJphut7bMdVu62l-Ti0JbjzfHf0JWL8-r2TxcvL--zaaLMOcgIWRamAQTBmAkJhFPdZFlpsgkRxnnqZAmo1yINKGAPDdcMslErmWqISsE5xNyP4zdNu6rQ9-qqvQ5WqtrdJ1XAFTyfUxIMjTmjfO-wUJtm7LSzbeKqNojU7_I1AnZQYLeenfc0WUVmpPxyKivi6G-c7bFxn_aboeNWh-Iqf8u0dtuB9vGt675mwpSSMn4DxzSfjE</recordid><startdate>198609</startdate><enddate>198609</enddate><creator>Dickey, Barbara</creator><creator>McGuire, Thomas G.</creator><creator>Cannon, Nancy L.</creator><creator>Gudeman, Jon E.</creator><general>J. 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The authors made comprehensive cost assessments of all the resources, including treatment programs, used by a small sample of severely disturbed chronically ill patients. Refinement of the model included a method to assess capital costs of public facilities. The use of disaggregated patient information permitted analysis of cost differences between patients when adjusted for case mix. Patient costs over the study period ranged from $24,000 to $99,000. Patient characteristics and change in clinical status account for 30% of the variance.</abstract><cop>United States</cop><pub>J. B. Lippincott Co</pub><pmid>3020322</pmid><doi>10.1097/00005650-198609000-00007</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 1986-09, Vol.24 (9), p.857-867 |
| issn | 0025-7079 1537-1948 |
| language | eng |
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| source | MEDLINE; JSTOR; Journals@Ovid Complete |
| subjects | Adult Aftercare - economics Capital costs Community Mental Health Centers - economics Cost allocation Cost estimates Cost estimation models Costs and Cost Analysis Diagnosis-Related Groups - economics Economic costs Female Health care costs Hospital costs Hospitalization Humans Maintenance costs Male Massachusetts Mental health Middle Aged Models, Theoretical Regression Analysis Schizophrenia - classification Schizophrenia - economics Total costs |
| title | Mental Health Cost Models: Refinements and Applications |
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