Salize H J
Zentralinstitut für Seelische Gesundheit Mannheim.
Psychiatr Prax. 2001 Jul;28 Suppl 1:S21-8. doi: 10.1055/s-2001-15383.
Schizophrenia is regarded as one of the most expensive mental illnesses because of its specific symptoms and characteristics. The care of schizophrenic patients consumed approx. 2 % of the total German health care expenditures in 1994, according to the scarce data provided by routine German health reporting. Despite this enormous impact, health-economical research in schizophrenia in Germany is widely neglected. While few empirical studies on direct cost of care for schizophrenic patients suggest that adequate comprehensive community care in Germany during the mid-nineties was about DM 27 000 to DM 28 000 per patient and year, there is a serious lackage of cost-effectiveness-studies, relating cost of care to outcome. Thus, the most basic data for any health care planning in schizophrenia is missing. This paper reviews the studies on cost of schizophrenia in Germany. It identifies the most serious knowledge gaps and describes the obstacles for an adequate research in this field.
由于其特定的症状和特征，精神分裂症被视为最昂贵的精神疾病之一。根据德国常规健康报告提供的稀缺数据，1994年德国精神分裂症患者的护理费用约占德国医疗保健总支出的2%。尽管有如此巨大的影响，但德国对精神分裂症的卫生经济学研究却被广泛忽视。虽然很少有关于精神分裂症患者护理直接成本的实证研究表明，90年代中期德国每位患者每年的适当综合社区护理费用约为27000至28000德国马克，但严重缺乏将护理成本与结果相关联的成本效益研究。因此，精神分裂症任何医疗保健规划的最基本数据都缺失。本文回顾了德国关于精神分裂症成本的研究。它确定了最严重的知识空白，并描述了该领域进行充分研究的障碍。
