National Centre for Register-based Research, Aarhus University, Aarhus, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Aust N Z J Psychiatry. 2023 Jun;57(6):914-922. doi: 10.1177/00048674221129184. Epub 2022 Oct 6.
The aim of the study was to estimate the annual health care cost by number of comorbid mental and somatic disorders in persons with a mental disorder.
All persons living in Denmark between 2004 and 2017 with a hospital diagnosis of a mental disorder were identified. We investigated the cost of different health care services: psychiatric hospitals, somatic hospitals, primary health care (e.g. general practitioners, psychologists and so on) and subsidised prescriptions. Within those with at least one mental disorder, we examined the costs for people with (a) counts of different types of mental disorders (e.g. exactly 1, exactly 2 and so on up to 8 or more) and (b) counts of different types of somatic disorders (e.g. no somatic disorders, exactly 1, exactly 2 and so on up to 15 or more). The estimates are reported in average cost per case and nationwide annual cost in Euro 2017.
In total, 447,209 persons (238,659 females and 208,550 males) were diagnosed with at least one mental disorder in the study period. The average annual health care cost per case and nationwide cost was 4471 Euros and 786 million Euro, respectively, for persons with exactly one mental disorder, and 33,273 Euro and 3.6 million Euro for persons with eight or more mental disorders. The annual health care cost was 4613 Euro per case and 386 million Euro for persons without any somatic disorders, while the cost per case was 16,344 Euro and 0.7 million Euro in nationwide cost for persons with 15 or more disorders. The amount and proportion of the different health care costs varied by type of comorbidity and count of disorders.
The annual health care cost per case was higher with increasing number of comorbid mental and somatic disorders, while the nationwide annual health care cost was lower with increasing number of comorbid disorders for persons with a mental disorder in Denmark.
本研究旨在评估精神障碍患者合并不同数量的精神和躯体共病障碍的年度医疗保健费用。
确定了 2004 年至 2017 年期间丹麦所有患有精神障碍的住院诊断患者。我们调查了不同医疗保健服务的费用：精神科医院、综合医院、初级保健（如全科医生、心理学家等）和补贴处方。在至少有一种精神障碍的患者中，我们检查了（a）不同类型精神障碍（如恰好 1 种、恰好 2 种等，最多 8 种或更多）和（b）不同类型躯体障碍（如无躯体障碍、恰好 1 种、恰好 2 种等，最多 15 种或更多）数量的患者的费用。这些估计以每个病例的平均费用和 2017 年欧元的全国年度费用报告。
在研究期间，共有 447209 人（238659 名女性和 208550 名男性）被诊断患有至少一种精神障碍。患有恰好一种精神障碍的患者每个病例的平均年度医疗保健费用和全国费用分别为 4471 欧元和 7860 万欧元，患有 8 种或更多精神障碍的患者为 33273 欧元和 3600 万欧元。没有任何躯体障碍的患者每年的医疗保健费用为 4613 欧元，全国费用为 3860 万欧元，而患有 15 种或更多障碍的患者每年的医疗保健费用为 16344 欧元，全国费用为 700 万欧元。不同共病类型和障碍数量的医疗保健费用的数量和比例各不相同。
丹麦患有精神障碍的患者合并的精神和躯体共病障碍数量越多，每个病例的年度医疗保健费用越高，而全国年度医疗保健费用则越低。
