Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.
Psychiatr Serv. 2024 Mar 1;75(3):295-298. doi: 10.1176/appi.ps.20230241. Epub 2023 Sep 21.
In this study, the authors measured and described the costs of coordinated specialty care (CSC) for first-episode psychosis in Ohio. A microcosting tool was used to estimate personnel and nonpersonnel costs of service delivery at seven CSC programs. Average annual cost per participant (N=511 participants) was estimated as $17,810 (95% CI=$9,141-$26,479). On average, 61% (95% CI=53%-69%) of annual program costs were nonbillable. Key cost drivers included facility costs, administrative tasks, and social services. Novel financing models may redress reimbursement gaps incurred by CSC programs.
在这项研究中，作者测量并描述了俄亥俄州首发精神病患者协调专科护理（CSC）的成本。使用微观成本工具来估计七个 CSC 项目的服务提供的人员和非人员成本。每位参与者的平均年度成本（N=511 名参与者）估计为 17810 美元（95%CI=9141 美元至 26479 美元）。平均而言，61%（95%CI=53%-69%）的年度项目成本是非计费的。主要成本驱动因素包括设施成本、行政任务和社会服务。新颖的融资模式可能会弥补 CSC 项目产生的报销缺口。
