Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents
Abstract The main aim of this study was to estimate the costs associated with diagnostic assessment and 1-year therapy in children and adolescents enrolled in 18 ADHD reference centres. Data concerning 1887 children and adolescents from the mandatory ADHD registry database during the 2012–2014 perio...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13033-017-0140-8 |
| _version_ | 1818241534809604096 |
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| author | Gianluigi Casadei Massimo Cartabia Laura Reale Maria Antonella Costantino Maurizio Bonati for the Lombardy ADHD Group |
| author_facet | Gianluigi Casadei Massimo Cartabia Laura Reale Maria Antonella Costantino Maurizio Bonati for the Lombardy ADHD Group |
| author_sort | Gianluigi Casadei |
| collection | DOAJ |
| description | Abstract The main aim of this study was to estimate the costs associated with diagnostic assessment and 1-year therapy in children and adolescents enrolled in 18 ADHD reference centres. Data concerning 1887 children and adolescents from the mandatory ADHD registry database during the 2012–2014 period were analysed. The overall diagnostic and treatment costs per patient amounts to €574 and €830, respectively. The ADHD centre, the school as sender, and the time to diagnosis constitute cost drivers. Non-pharmacological therapy resulted as being more expensive for patients concomitantly treated with drugs (€929) compared to those treated with psychological interventions alone (€590; p = 0.006). This study gives the first and reliable estimate of the costs associated with both diagnosis and treatment of ADHD in Italy. Although costs associated with mental disorders are difficult to estimate, continuing efforts are need to define costs and resources to guarantee appropriate care, also for ADHD. |
| first_indexed | 2024-12-12T13:30:52Z |
| format | Article |
| id | doaj.art-961187b9ee184bd89c49c817deba7bf2 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-12-12T13:30:52Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-961187b9ee184bd89c49c817deba7bf22022-12-22T00:23:04ZengBMCInternational Journal of Mental Health Systems1752-44582017-04-0111111310.1186/s13033-017-0140-8Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescentsGianluigi Casadei0Massimo Cartabia1Laura Reale2Maria Antonella Costantino3Maurizio Bonati4for the Lombardy ADHD GroupCESAV-“Angelo e Angela Valenti” Centre for Health Economics, Department of Public Health, IRCCS-Istituto di Ricerche Farmacologiche “Mario Negri”Laboratory for Mother and Child Health, Department of Public Health, IRCCS-Istituto di Ricerche Farmacologiche “Mario Negri”Laboratory for Mother and Child Health, Department of Public Health, IRCCS-Istituto di Ricerche Farmacologiche “Mario Negri”Child and Adolescent Neuropsychiatric Unit, IRCCS Foundation Ca’ GrandaLaboratory for Mother and Child Health, Department of Public Health, IRCCS-Istituto di Ricerche Farmacologiche “Mario Negri”Abstract The main aim of this study was to estimate the costs associated with diagnostic assessment and 1-year therapy in children and adolescents enrolled in 18 ADHD reference centres. Data concerning 1887 children and adolescents from the mandatory ADHD registry database during the 2012–2014 period were analysed. The overall diagnostic and treatment costs per patient amounts to €574 and €830, respectively. The ADHD centre, the school as sender, and the time to diagnosis constitute cost drivers. Non-pharmacological therapy resulted as being more expensive for patients concomitantly treated with drugs (€929) compared to those treated with psychological interventions alone (€590; p = 0.006). This study gives the first and reliable estimate of the costs associated with both diagnosis and treatment of ADHD in Italy. Although costs associated with mental disorders are difficult to estimate, continuing efforts are need to define costs and resources to guarantee appropriate care, also for ADHD.http://link.springer.com/article/10.1186/s13033-017-0140-8Health care costsChild and adolescent healthMental healthAmbulatory/outpatient care |
| spellingShingle | Gianluigi Casadei Massimo Cartabia Laura Reale Maria Antonella Costantino Maurizio Bonati for the Lombardy ADHD Group Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents International Journal of Mental Health Systems Health care costs Child and adolescent health Mental health Ambulatory/outpatient care |
| title | Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents |
| title_full | Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents |
| title_fullStr | Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents |
| title_full_unstemmed | Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents |
| title_short | Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents |
| title_sort | italian regional health service costs for diagnosis and 1 year treatment of adhd in children and adolescents |
| topic | Health care costs Child and adolescent health Mental health Ambulatory/outpatient care |
| url | http://link.springer.com/article/10.1186/s13033-017-0140-8 |
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