Allocation of resources and psychosis.
Objective: This commentary reviews current expenditure on psychosis in Australia, identifies discretionary expenditure that could be used more efficiently, discusses the factors influencing resource allocation and intervention selection decisions, and suggests priorities for change. Method: Cost-of-...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 37; no. 1; pp. 15 - 24 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
Feb2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106098865&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106098865 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Feb2003 vid: 37 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106098865 106098865 2009454277 10.1046/j.1440-1614.2003.01117.x NLM12534652 106098865 ppf: 15 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Allocation of resources and psychosis. aug: au: Neil AL Lewin TJ Carr VJ sug: subj: Health Resource Allocation Economics Mental Health Services Economics Psychotic Disorders Economics Resource Allocation Economics Cost Benefit Analysis Health Care Costs New Zealand Prevalence Program Evaluation Psychotic Disorders Epidemiology Psychotic Disorders Therapy ab: Objective: This commentary reviews current expenditure on psychosis in Australia, identifies discretionary expenditure that could be used more efficiently, discusses the factors influencing resource allocation and intervention selection decisions, and suggests priorities for change. Method: Cost-of-illness findings from the Low Prevalence Disorders Study (LPDS), and related service use and psychosocial data, are used to highlight patterns of expenditure on psychosis and potential resource allocation issues. Arguments are also presented suggesting that mental health resource allocation in Australia should be informed primarily by treatment efficiency, equity and humanitarian considerations, not differences in the global burden of disease. However, our evidence-base about the effectiveness and costs associated with individual treatments, programmes, and organizational structures is also shown to be limited. Conclusions: The patterns of service use and expenditure on psychosis suggest certain imbalances, including an over-reliance on hospitalization, low levels of supported community accommodation, and inadequate provision of evidence-based psychosocial treatments, rehabilitation and supported employment programmes. We need to identify and develop efficient interventions and programmes, re-orientate our services to better utilize those interventions, increase community awareness, improve monitoring of outcomes and costs, and undertake timely evaluations at multiple levels, from the individual to the societal perspective. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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