A cost-benefit analysis of psychiatric patients after discharge from hospitals and followed-up as outpatients or transferred to institutions for psychiatric rehabilitation

April 2014
Taiwan Journal of Publich Health / Taiwan Gong Gong Wei Sheng Za;Apr2014, Vol. 33 Issue 2, p150
Academic Journal
Objectives: This study investigated the cost-benefit analysis of psychiatric patients discharged from hospitals and either followed-up in outpatient departments or transferred to institutions for psychiatric rehabilitation. Methods: The data were obtained from the Normalized Million People File on 2000, National Health Insurance Research Database. We selected psychiatric in-patients who were discharged from 2004.1.1 ∼ 2008.12.31. The cases were divided into a group that received outpatient follow-up and a group which had psychiatric rehabilitation. We investigated the cost-benefit analysis of these two groups within 2 years after discharge, using chi-square t-tests, independent t-tests, binary logistic regression analysis, and the indicators of cost-benefit analysis. Results: From the point of view of health insurance payers, the costs were direct and analyzed by reporting points of NHI. By using propensity score matching, we selected 326 cases from each group for study. From the indicators of cost-benefit analysis, we found that the cost-benefit of the group with outpatient follow-up was better than that of psychiatric rehabilitation group. Conclusions: There was no advantage in cost-benefit for the group with psychiatric rehabilitation compared with the group with outpatient follow-up. But for the group in outpatient follow-up, average and total medical expenses in the second year were higher than the expenses in the first year. A future study that prolonged the years of follow-up may clarify the trends in these two groups.


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