Location of care for people with serious mental illness (LOCAPE): implications for service use and costs using a mixed-methods approach

McCrone P, Wright S, Zala D, Radhakrishnan Kartha M, Koeser L, Ashworth M, Schofield P, Rose D, Corlett S, Patel A, Stewart R, Stahl D, Whitney D & Gannon J
Record ID 32016001148
English
Authors' objectives: This study focuses on health care received by people with serious mental illness (SMI). The aim is to examine the economic implications of different locations of management of care and the views of service users and staff regarding services set up as alternatives to secondary care. Specific objectives are to (1) identify people with SMI managed in primary or secondary care; (2) identify those who could be potentially transferred to primary care; (3) compare the characteristics of these groups; (4) compare service use and costs; (5) generate models to estimate cost changes following transfer between settings; (6) identify characteristics associated with time to transition to secondary care; (7) investigate experiences of patients receiving support from community-based interventions; and (8) assess the economic impact of interventions to facilitate transfer of care management.
Authors' recommendations: Costs are substantially lower in primary care than secondary care, even after controlling for service-user patient differences. Generally, there is satisfaction with services to help facilitate primary care provision and these appear to be cost saving. Future work should continue the analysis of linked data and involve a more comprehensive evaluation of the specific services investigated here.
Details
Project Status: Completed
Year Published: 2016
URL for published report: https://www.journalslibrary.nihr.ac.uk/hsdr/hsdr04340/#/abstract
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Humans
  • Costs and Cost Analysis
  • Mental Health Services
  • Health Care Facilities, Manpower, and Services
Contact
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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