The Cost of Inpatient Care of Schizophrenia and Treatment Schedules Used in German Academic Center: Kiel

Psychiatr Q. 2016 Dec;87(4):595-603. doi: 10.1007/s11126-015-9412-0.

Abstract

The authors aimed at analyzing the costs of inpatient care of schizophrenia in Kiel (Germany). The study was also to present treatment regimens used at the German Academic Center. Moreover, the study is a continuation and complement of the previous study conducted in Polish and Ukrainian Academic Center. Therefore, it helps increase the awareness and knowledge of residents concerning the cost of inpatient care of schizophrenia. The analysis was based on 105 hospital records of patients treated between January 2012 and June 2013. According to inclusion criteria, 50 adult patients (27 women and 23 men) were included in the study. The study was approved by the Ethics Committee of the Medicine Faculty of CAU in Kiel. The cost of schizophrenia treatment of 50 patients in Kiel was EUR 604,280.90 ([Formula: see text] = EUR 12,085.62). The duration of hospital stay was on average [Formula: see text] = 51.02 days. The patients were treated with neuroleptics of all generations. The most popular atypical neuroleptic was amisulpride and the most popular typical neuroleptic was haloperidol. Patients from Kiel were provided a comprehensive non-pharmacological treatment. Treatment regiments and evaluations of costs of schizophrenia vary between countries. The costs of inpatient care of schizophrenia are high in Kiel. Treatment of schizophrenia seems to be comprehensive in Kiel and wide range of treatment opportunities contribute to a more effective treatment confirmed by less frequent relapses of schizophrenia than in Lviv (Ukraine), for example. Comprehensive treatment should be available everywhere, because it is a right of every patient.

Keywords: Direct costs; Inpatient care; Schizophrenia; Therapy.

MeSH terms

  • Academic Medical Centers*
  • Adult
  • Antidepressive Agents / therapeutic use
  • Antipsychotic Agents / therapeutic use
  • Art Therapy / economics
  • Cognitive Behavioral Therapy / economics
  • Female
  • Germany
  • Health Care Costs*
  • Hospitalization / economics*
  • Humans
  • Length of Stay / economics
  • Male
  • Middle Aged
  • Psychotherapy / economics*
  • Schizophrenia / economics*
  • Schizophrenia / therapy
  • Social Skills

Substances

  • Antidepressive Agents
  • Antipsychotic Agents