Service provision for people with schizophrenia. I. Clinical and economic perspective.
BACKGROUND
The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation.


METHODS
Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.


RESULTS
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.


CONCLUSIONS
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.
Lang
F H
FH
Department of Psychiatry, Royal Edinburgh Hospital.
Forbes
J F
JF
Murray
G D
GD
Johnstone
E C
EC
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D003152:Community Health Nursing / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000191:economics / Q000706:statistics & numerical data / Q000600:supply & distribution; D003631:Day Care, Medical / Q000706:statistics & numerical data; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000191:economics / Q000706:statistics & numerical data / Q000600:supply & distribution*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012559:Schizophrenia / Q000191:economics / Q000628:therapy*; D012606:Scotland; D012959:Socioeconomic Factors