Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder

Background Evidence regarding the relationships between the socioeconomic status and long-term outcomes of individuals with bipolar affective disorder (BPD) is lacking....

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Main Authors: Yi-Ju. Pan, Ling-Ling Yeh, Yu-Chun Chen, Kuei-Hong Kuo, Chin-Kuo Chang
Format: Article
Language:English
Published: Cambridge University Press 2016-01-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001095/type/journal_article
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author Yi-Ju. Pan
Ling-Ling Yeh
Yu-Chun Chen
Kuei-Hong Kuo
Chin-Kuo Chang
author_facet Yi-Ju. Pan
Ling-Ling Yeh
Yu-Chun Chen
Kuei-Hong Kuo
Chin-Kuo Chang
author_sort Yi-Ju. Pan
collection DOAJ
description Background Evidence regarding the relationships between the socioeconomic status and long-term outcomes of individuals with bipolar affective disorder (BPD) is lacking. Aims We aimed to estimate the effects of baseline socioeconomic status on longitudinal outcomes. Method A national cohort of adult participants with newly diagnosed BPD was identified in 2008. The effects of personal and household socioeconomic status were explored on outcomes of hospital treatment, mortality and healthcare costs, over a 3-year follow-up period (2008–2011). Results A total of 7987 participants were recruited. The relative risks of hospital treatment and mortality were found elevated for the ones from low-income households who also had higher healthcare costs. Low premium levels did not correlate with future healthcare costs. Conclusions Socioeconomic deprivation is associated with poorer outcome and higher healthcare costs in BPD patients. Special care should be given to those with lower socioeconomic status to improve outcomes with potential benefits of cost savings in the following years.
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spelling doaj.art-b86e541f1f0046f7a7456af512d2381d2023-03-09T12:28:37ZengCambridge University PressBJPsych Open2056-47242016-01-012101710.1192/bjpo.bp.115.000810Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorderYi-Ju. Pan0Ling-Ling Yeh1Yu-Chun Chen2Kuei-Hong Kuo3Chin-Kuo Chang4Department of Psychiatry, Memorial Hospital, New Taipei City, Taiwan, School of Medicine, National Yang-Ming University, Taipei, TaiwanAsia University, Taichung, TaiwanSchool of Medicine, National Yang-Ming University, Taipei, Taiwan Department of Medical Research and Education, National Yang-Ming University Hospital, Yilan City, TaiwanSchool of Medicine, National Yang-Ming University, Taipei, TaiwanDepartment of Psychological Medicine, King's College London (Institute of Psychiatry, Psychology, and Neuroscience), London, UK Background Evidence regarding the relationships between the socioeconomic status and long-term outcomes of individuals with bipolar affective disorder (BPD) is lacking. Aims We aimed to estimate the effects of baseline socioeconomic status on longitudinal outcomes. Method A national cohort of adult participants with newly diagnosed BPD was identified in 2008. The effects of personal and household socioeconomic status were explored on outcomes of hospital treatment, mortality and healthcare costs, over a 3-year follow-up period (2008–2011). Results A total of 7987 participants were recruited. The relative risks of hospital treatment and mortality were found elevated for the ones from low-income households who also had higher healthcare costs. Low premium levels did not correlate with future healthcare costs. Conclusions Socioeconomic deprivation is associated with poorer outcome and higher healthcare costs in BPD patients. Special care should be given to those with lower socioeconomic status to improve outcomes with potential benefits of cost savings in the following years. https://www.cambridge.org/core/product/identifier/S2056472400001095/type/journal_article
spellingShingle Yi-Ju. Pan
Ling-Ling Yeh
Yu-Chun Chen
Kuei-Hong Kuo
Chin-Kuo Chang
Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
BJPsych Open
title Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
title_full Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
title_fullStr Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
title_full_unstemmed Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
title_short Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
title_sort hospital treatment mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder
url https://www.cambridge.org/core/product/identifier/S2056472400001095/type/journal_article
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