title: Predicting psychiatric inpatient costs.
abstract: OBJECTIVE
  A large proportion of mental health costs is inpatient care but little is known about their variation between patients. The aim of this study was to measure and identify the predictors of costs of staff contacts and activities on inpatient wards.
  
  
  METHODS
  Inpatients from psychiatric hospital wards in south London were interviewed in 2008 and 2009 and staff contacts and use of activities recorded over a week and costs calculated. Regression analyses identified predictors.
  
  
  RESULTS
  Of 334 participants, 78% used activities and 90% had staff contacts. However, 41% reported no nurse contact. Mean staff contact and activity costs were £197 and £30 per week, respectively. Staff contact costs were inversely related to age, and activity costs were higher for patients with higher levels of education. Patient satisfaction was positively associated with both costs.
  
  
  CONCLUSIONS
  The costs of self-reported staff contacts and use of activities account for a small amount of total inpatient costs. Patients with higher costs appeared to have higher levels of satisfaction.
authors.affiliation: King's Health Economics, Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Ramon
authors.initials: R
authors.lastname: Sabes-Figuera
authors.affiliation: King's Health Economics, Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK. paul.mccrone@kcl.ac.uk.|P024 Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK. paul.mccrone@kcl.ac.uk.
authors.forename: Paul
authors.initials: P
authors.lastname: McCrone
authors.affiliation: Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Emese
authors.initials: E
authors.lastname: Csipke
authors.affiliation: Social Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Tom K J
authors.initials: TK
authors.lastname: Craig
authors.affiliation: Service User Research Enterprise, Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Diana
authors.initials: D
authors.lastname: Rose
authors.affiliation: Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Bina
authors.initials: B
authors.lastname: Sharma
authors.affiliation: Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Til
authors.initials: T
authors.lastname: Wykes
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D004522:Educational Status; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics*; D006778:Hospitals, Psychiatric / Q000191:economics*; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data; D008131:London; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D036301:Qualitative Research; D055815:Young Adult
keywords: Costs; Economic evaluation; Inpatient care; Service use