Disease burden of schizophrenia patients visiting a Chinese regional mental health centre

Author:

Zhong Qiuping12345,Tan Yuxi12345,Chen Wendong67,Huang Huiqing6,Huang Jing12345,Li Sujuan12345,Teng Ziwei12345,Shen Manjun12345,Wu Chujun12345,Wang Lu12345,Cao Song12345,Chen Jindong12345,Wu Haishan12345,Tang Hui12345

Affiliation:

1. Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

2. National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan, China

3. National Technology Institute on Mental Disorders, Changsha, Hunan, China

4. Hunan Key Laboratory of Psychiatry & Mental Health, Changsha, Hunan, China

5. Mental Health Institute, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

6. Changsha Normin Health Technology Ltd, Changsha, China

7. Normin Health Consulting Ltd, Toronto, Ontario L5R 0E9, Canada

Abstract

Aim & methods: A decision-analytic model was constructed to simulate a real-world cohort of Chinese patients visiting a Chinese regional mental health center for long-term health outcomes and direct medical costs. Results: When compared with age and gender-matched general population, the Chinese patients with schizophrenia were associated with reduced overall survival by 20.6 years (27.6 vs 48.2 years) and reduced quality-adjusted life years (QALY) by 18.4 QALY (18.4 vs 36.8 QALY), respectively, and increased lifetime direct medical costs by about three-times (US$84,324 vs 33,387 as of 31 December 2017) on average. Conclusion: The burden of schizophrenia was mainly driven by the mortality associated with relapsed schizophrenia and direct medical costs for schizophrenia in local mental health rehabilitation institutes.

Publisher

Future Medicine Ltd

Subject

Health Policy

Reference29 articles.

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3. National Institute for Clinical Excellence. Psychosis and schizophrenia in adults: prevention and management. National Clinical Practice Guidelines number CG178 (2014). www.nice.org.uk/guidance/cg178

4. The economic burden of mental disorders in China, 2005–2013: implications for health policy

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