Cost-effectiveness over 10 years

摘要: More and more, the chronically mentally ill are treated in community-based facilities. A review of international findings indicates that these treatments on average considerably cheaper than traditional inpatient treatments. The present study adds some further evidence cost-effectiveness a comprehensive programme provided to large number mainly patients within clearly defined catchment area over 10-year period (1981-1990). revealed important needs, as ill, socially handicapped frequently unoccupied patients, suffering from severe disorders were admitted different These needs well compensated for by offer differentiated network crisis-intervention, half-way treatment Despite low staff-patient ratios (0.04-0.5), coherent pattern transitions admission discharge indicated good rehabilitative power this diminishing referrals hospitals increasing outpatient independent services. Performances costs varied according structure On average, direct daily social psychiatric care about half whole period. Whereas mean community followed inflation rates, grew faster. Among short-term effects, goals set at reached great extent, while success rates autonomy philosophies. In long-term, facilities studied tended be confirmed living work, but professional was still needed most patients. certain methodological weaknesses study, we suggest funds maintained strongly recommend allocation form treatment.