Beecham, J.K. and Chisholm, C. and O'Herlihy, A. and Astin, J. (2003) Variations in the costs of child and adolescent psychiatric inpatient units. British Journal of Psychiatry, 183 (3). pp. 220-225. ISSN 0007-1250.
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Abstract
Background Child and adolescent in-patient care is a highly specialised service, ideally requiring planning at a national level, but there are no routine data collections specifically for these services. Aims To estimate unit costs for child and adolescent psychiatric in-patient units and to analyse the variations in costs between units. Method Data collection alongside a national survey with cost estimations guided byprinciples drawn from economic theory. Bivariate and multivariate analyses are employed to identify cost influences. Results Fifty-eight units could provide sufficient data to allow calculation of the cost per in-patient day; mean=£197 (s.d.=71.6; 1999–2000 prices). The management sector, type of provision, number of rooms, capacity and location explained nearly half of the cost variation. Conclusions Child and adolescent psychiatric in-patient units are an expensive resource, with personnel absorbing two-thirds of the total costs. Costs per in-patient day vary fourfold and the exploration of cost variations can inform commissioning strategies.
| Item Type: | Article |
|---|---|
| Additional information: | The Department of Health funded the study. There were no competing interests. |
| Subjects: | H Social Sciences H Social Sciences > HV Social pathology. Social and public welfare |
| Divisions: | Faculties > Social Sciences > School of Social Policy Sociology and Social Research Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit |
| Depositing User: | Samantha Osborne |
| Date Deposited: | 19 Dec 2007 18:28 |
| Last Modified: | 08 May 2012 12:47 |
| Resource URI: | http://kar.kent.ac.uk/id/eprint/764 (The current URI for this page, for reference purposes) |
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