Fiscal outcomes of the closing of central state hospital: An analysis of the costs to state government

作     者：Wright, ER 

作者机构：Indiana Univ Purdue Univ Dept Sociol Indianapolis IN 46202 USA Indiana Consortium Mental Hlth Serv Res Bloomington IN USA 

出 版 物：《JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH》 (行为保健服务与研究杂志)

年 卷 期：1999年第26卷第3期

页      面：262-275页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：NIMH NIH HHS [R24MH51669] Funding Source: Medline 

主　　题：患病代价 费用效益分析 成本及成本分析 医院外治疗/经济学 直接服务费用/统计学和数值数据 直接服务费用/发展趋势 卫生设施关闭/经济学 医院 精神病/经济学 医院 州立/经济学 印第安纳 最小二乘法分析 纵向研究 精神障碍/经济学 精神卫生服务/经济学 多元分析 州政府 人类 

摘      要：This study reports estimates of the preclosure and postclosure costs of mental health services for patients directly affected by the closing of Central State Hospital. The data come from state budget documents and from the billing records of the community mental health centers sewing the discharged clients. On average, it cost Indiana approximately $68,347 (in 1995 dollars) to provide 12 months of state hospital care for this client cohort in fiscal year 1993. rn contrast, during the first year following the closure, the average per patient cost to the state was $55,417. When clients were sewed exclusively in community care settings, the average annual per patient cost was $40, 618 The analyses suggest that the closing reduced the costs of caring for this cohort of patients by approximately 18.9%. A significant portion of the cost savings to the state mental health budget was achieved by shifting some of the direct patient care costs to Medicaid/Medicare.