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Health care costs and changes in subjective health-related quality of life among Finnish adolescents referred to secondary psychiatric out-patient services: a one-year follow-up study

Anne Rissanen
Anne Rissanen
, 
Risto Roine
Risto Roine
, 
Mauri Marttunen
Mauri Marttunen
, 
Harri Sintonen
Harri Sintonen
 oraz 
Nina Lindberg
Nina Lindberg
   | 06 maj 2023
Scandinavian Journal of Child and Adolescent Psychiatry and Psychology's Cover Image
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Article Category: Research Article
Data publikacji: 06 maj 2023
Zakres stron: 34 - 43
DOI: https://doi.org/10.2478/sjcapp-2023-0004
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© 2023 Anne Rissanen et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

FIGURE 1.

Mean 16D score difference of the patients (n = 137) at baseline and 12 months compared to gender-adjusted controls (n = 373).
Mean 16D score difference of the patients (n = 137) at baseline and 12 months compared to gender-adjusted controls (n = 373).

FIGURE 2.

Mean 16D score difference of the patients with Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (n = 37) at baseline and 12 months compared to gender-adjusted controls (n = 373).
Mean 16D score difference of the patients with Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (n = 37) at baseline and 12 months compared to gender-adjusted controls (n = 373).

FIGURE 3.

Mean 16D score difference of the patients with Mood disorders (n = 35) at baseline and 12 months compared to gender-adjusted controls (n = 373).
Mean 16D score difference of the patients with Mood disorders (n = 35) at baseline and 12 months compared to gender-adjusted controls (n = 373).

FIGURE 4.

Mean 16D score difference of the patients with Neurotic, stress-related, and somatoform disorders (n = 34) at baseline and 12 months compared to gender-adjusted controls (n = 373).
Mean 16D score difference of the patients with Neurotic, stress-related, and somatoform disorders (n = 34) at baseline and 12 months compared to gender-adjusted controls (n = 373).

Direct secondary care treatment costs during the 12-month follow-up in three psychiatric diagnostic categories (from the perspective of the service provider).

Variable Behavioural and emotional disorders with onset usually occuring in childhood or adolescence (F90-98) n = 37 Mood disorders (F30-39) n = 35 Neurotic, stress-related, and somatoformic disorders (F40-49) n = 34 All (F90-98, F30-39, F 40-49) n = 106
Age at baseline, mean (SD) 13.4 (0.61) 13.9 (0.65) 14.0 (0.61) 13.9 (0.66)
Gender, female: n (%) 19 (51.4) 28 (80.0) 26 (76.5) 73 (68.9)
Total cost, 12-month follow-up
    Median total cost, patient € [IQR] 5091 [2177-7413] 6618 [3320-9019] 4955 [1549-7548] 5167 [2229-7993]
    Mean total cost per patient € (SD) 7398 (9898) 16194 (27589) 7019 (10770) 10180 (18290)
Costs related to psychiatric treatment out of total treatment costs (%) 88.9 96.1 95.0 94.1
Distribution of costs, unit: mean (SD) [%]
    Outpatient care, visit 15.4 (10.9) [52.5] 24.4 (17.6) [34.7] 19.6 (15.1) [64.8] 19.7 (15.1) [45.9]
    Inpatient care, day 0.1 (0.4) [31.5] 0.6 (1.3)[63.7] 0.2 (0.7) [31.4] 0.3 (0.9) [48.4]
    Rehabilitation services, visit 2.3 (4.6) [15.9] 0.3 (1.7) [1.5] 0.4 (1.9) [2.6] 1.0 (3.2) [5.4]
    Outsourced services, visit 0.1 (0.2) [0.06] 0 0.2 (0.8) [1] 0.1 (0.5) [0.2]
    Outsourced secondary health care services, visit 0 0 0.1 (0.5) [0.1] 0.03 (0.3) [0.02]
    Interpretation services, visit 0 0.03 (0.2) 0.03 (0.2) 0.02 (0.1) [0.02]
    Assistive equipments, visit 0.3 (2.0) [0.01] 0.3 (2.0) 0 0.2 (1.6) [0.03]
eISSN:
2245-8875
Język:
Angielski
Częstotliwość wydawania:
Volume Open
Dziedziny czasopisma:
Medicine, Basic Medical Science, other
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