Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non-psychotic conditions in England: implications for commissioning.
Nilforooshan, R, Benson, L, Gage, H, Williams, P, Zoha, M and Warner, J (2016) Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non-psychotic conditions in England: implications for commissioning. Int J Geriatr Psychiatry.
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OBJECTIVE: Current plans in the English National Health Service are to replace block contracts for mental health providers with a single tariff for each 'cluster' of conditions. A single tariff will not take into account the potential additional complexity and costs inherent in caring for older people. To examine the basis for a uniform tariff, differences in service utilisation and costs between working age adults and older adults in two populous clusters (non-psychotic, psychotic) were investigated across five mental health healthcare providers in and around London. METHODS: Retrospective review of records over 3 months assessing service utilisation and costs using the Client Services Receipt Inventory. RESULTS: Records of 362 patients were reviewed, 179 older adults (90 non-psychotic, 89 psychotic) and 183 adults of working age (83 non-psychotic, 100 psychotic). Older adults in both clusters had more tests, assessments and home visits. Overall costs of care of older adults were significantly higher in the non-psychotic cluster (£5634, vs £4405 psychotic, p = 0.044). CONCLUSIONS: An appropriate age-related tariff is required for each cluster. Copyright © 2016 John Wiley & Sons, Ltd.
|Date :||10 March 2016|
|Identification Number :||10.1002/gps.4455|
|Copyright Disclaimer :||Copyright © 2016 John Wiley & Sons, Ltd.|
|Uncontrolled Keywords :||commissioning, mental health, older adults, services|
|Related URLs :|
|Additional Information :||Full text may be available at a later date.|
|Depositing User :||Symplectic Elements|
|Date Deposited :||12 Aug 2016 14:48|
|Last Modified :||12 Aug 2016 14:49|
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