The costs of alcoholism.

Background: Alcohol dependence is one of the most common psychiatric disorders, placing many health, social and economic burdens upon society.Aims: To review evidence regarding the socioeconomic burden of alcoholism and the cost-effectiveness of available treatments.Methods: Relevant literature was...

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Publicado en:Journal of Mental Health Vol. 14; no. 4; pp. 321 - 331
Autores principales: Simon J, Patel A, Sleed M
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2005
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      pub: Taylor & Francis Ltd
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        atl: The costs of alcoholism.
      aug:
        au:
          Simon J
          Patel A
          Sleed M
        affil: Centre for the Economics of Mental Health, David Goldberg Centre, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London; judit.simon@dphpc.ox.ac.uk
      sug:
        subj:
          Alcohol Rehabilitation Programs
          Alcoholism Therapy
          Cost Benefit Analysis
          Economic Aspects of Illness
          Health Care Costs
          Mental Health Services Economics
          Social Problems
          Alcoholism Drug Therapy
          Computerized Literature Searching
          Cost Savings
          Germany
          Health Resource Utilization
          Medline
          Productivity
          Psychotherapy Economics
          Reference Databases
          Socioeconomic Factors
          Spain
          Systematic Review
          United Kingdom
          United States
          Human
      ab: Background: Alcohol dependence is one of the most common psychiatric disorders, placing many health, social and economic burdens upon society.Aims: To review evidence regarding the socioeconomic burden of alcoholism and the cost-effectiveness of available treatments.Methods: Relevant literature was identified from searches of electronic databases covering the period from 1980 to February 2002.Results: Total economic costs to society from alcohol abuse have been estimated at $148 billion (1992) in the USA, DM6 billion (€3.1 billion, 1990) in West Germany and 638 billion ptas (€3.8 billion, 1996) in Spain. Lost productivity costs far outweighed direct medical costs in each of these countries. Regarding comparative cost-effectiveness evidence, no economic evaluations could be identified on specific interventions, except the several modelling studies that have been published recently on acamprosate. They showed potential cost savings by acamprosate, primarily through reduced acute hospitalization and rehabilitation. Existing effectiveness and cost data suggest that brief motivational counselling is also a potentially cost-effective intervention. A few papers examining the cost-effectiveness of different treatment programmes were also reviewed.Conclusions: Results of this review further emphasize the necessity of efficient resource allocation in health care and the need for comprehensive, standardized management strategies for people with alcohol abuse.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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