Mental health care in Italy: organisational structure, routine clinical activity and costs of a community psychiatric service in the Lombardy Region

Fattore, G. and Percudani, M. and Pugnoli, C and Beecham, J.K. (2000) Mental health care in Italy: organisational structure, routine clinical activity and costs of a community psychiatric service in the Lombardy Region. International Journal of Social Psychiatry, 46 (4). pp. 250-265. ISSN 0020-7640. (The full text of this publication is not available from this repository)

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Abstract

The Magenta Community Health Centre (MCHC) is the public agency responsible for providing adult psychiatric care to about 85,000 adult residents. In 1995, it had 1,145 clients and incurred costs of Euro 1.9 millions. Average cost per patient and per adult resident were Euro 1,661 and Euro 22.2, respectively. These values mark large variation across diagnosis: while patients with schizophrenia and related disorders had an average cost of Euro 3,771, those with neurotic and related disorders had an average cost of Euro 439. Patients with schizophrenia and related disorders (28% of the patients) absorbed about 60% of total costs and made extensive use of several types of services (hospital, outpatient, domiciliary, social and rehabilitative). Since integrating different different types of services is the key element of Italian psychiatric care, the new fee-for-service system adopted by the NHS to fund providers does not appear appropriate, particularly for schizophrenic patients.

Item Type: Article
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Rosalyn Bass
Date Deposited: 20 May 2011 14:44
Last Modified: 20 May 2011 14:44
Resource URI: http://kar.kent.ac.uk/id/eprint/26820 (The current URI for this page, for reference purposes)
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