2000
DOI: 10.1176/appi.ps.51.4.525
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Antipsychotic Drug Use Patterns and the Cost of Treating Schizophrenia

Abstract: This study investigated the relationships between antipsychotic drug use patterns and direct costs for 3,321 Medi-Cal patients with schizophrenia. Ordinary least-squares regression models were used to estimate the impact on costs of receiving antipsychotic drug treatment, delays in treatment, changes in therapy, and continuous therapy. Average costs were $25,940 per year per patient. Having used an antipsychotic drug was correlated with lower psychiatric hospital costs ($2,846 less) but higher nursing home cos… Show more

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Cited by 31 publications
(26 citation statements)
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“…McCombs and colleagues reported a non-significant trend towards lower hospitalization costs with continuous antipsychotic treatment (McCombs et al 2000). That individuals in this study who received antipsychotic treatment were more likely to have had a hospitalization for schizophrenia relative to those who did not is counter-intuitive.…”
Section: Discussionmentioning
confidence: 51%
“…McCombs and colleagues reported a non-significant trend towards lower hospitalization costs with continuous antipsychotic treatment (McCombs et al 2000). That individuals in this study who received antipsychotic treatment were more likely to have had a hospitalization for schizophrenia relative to those who did not is counter-intuitive.…”
Section: Discussionmentioning
confidence: 51%
“…[18] The various surveys carried out internationally reveal variation in the prevalence of the prescription of combined antipsychotics across clinical samples, and across countries, depending, presumably, on the availability and costs of antipsychotic medication as well as local prescribing practice and culture, clinical experience and knowledge of psychopharmacology. [45,110,120,132,133] Clinical associations with the prescription of an antipsychotic polypharmacy regimen have been identified, such as greater use of anticholinergic medication, male sex, poorer symptom control and longer periods spent in hospital, [9,71,108,110,120,134] but whether any of these should be considered as risk factors or simply markers of more chronic and/or severe illness [116,122,[135][136][137] is uncertain.…”
Section: Antipsychotic Polypharmacy In Clinical Practicementioning
confidence: 99%
“…It is among the most expensive diagnosis in medicine accounting for 2.5% of US healthcare expenditure 67-68. Per patient, treatment has been estimated to cost $25,940 annually with majority of monies allocated for nursing home care while the residual expenditure funds ambulatory services, psychotherapy, acute hospital care, prescription drugs and psychiatric hospital care 69. In fact, schizophrenic patients occupy 20-25% of available beds in psychiatric hospitals 68.…”
Section: Introductionmentioning
confidence: 99%