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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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Abstract

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.

Item Type: Article
Subjects : Economics
Authors :
AuthorsEmailORCID
Nilforooshan, RUNSPECIFIEDUNSPECIFIED
Benson, LUNSPECIFIEDUNSPECIFIED
Gage, HUNSPECIFIEDUNSPECIFIED
Williams, PUNSPECIFIEDUNSPECIFIED
Zoha, MUNSPECIFIEDUNSPECIFIED
Warner, JUNSPECIFIEDUNSPECIFIED
Date : 10 March 2016
Identification Number : 10.1002/gps.4455
Copyright Disclaimer : This is the peer reviewed version of the following article: 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, doi: 10.1002/gps.4455, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1002/gps.4455/full. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Uncontrolled Keywords : commissioning, mental health, older adults, services
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 12 Aug 2016 14:48
Last Modified : 15 Nov 2016 16:27
URI: http://epubs.surrey.ac.uk/id/eprint/811696

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