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Salud mental  2011 

Costo-efectividad de intervenciones para esquizofrenia en México

Keywords: schizophrenia, cost-effectiveness, readmitted.

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Abstract:

the world health organization estimates that the expense of attending mental illness problems in developed countries amounts to 3-4% out of the total gdp. the public expense for hospitalization of patients diagnosed with schizophrenia was three times higher in patients who decide to leave the treatment than those who continue with it; ambulatory patients amount to almost the same figures in public expenses whether they decide to continue the treatment or not. in the usa, there are 87 000 people hospitalized due to schizophrenia every year, which represent 93 000 hospital days with a cost of about 806 billion dollars a year; to stop patients from leaving the treatment, however, would cut the number of acute cases 12.3% and hospitalizations 13.1%. these two reductions would cut down the expenses in medicaid as much as 106 million dollars. according to data gathered by the organization for the economical cooperation and development for germany, the expense in mental health accounts for 10% of total health expenses, being schizophrenia, depression and anxiety the most costly illnesses. finland doubled the expenses to attend those who suffered mental illnesses between 1990 and 2003. the total annual expenses for the treatment of schizophrenia in latin american and caribbean countries accounts for 1.81%, for africa 0.47%, for europe 1.32% and for southern asia 0.52 in millions of dollars per every million people. in mexico, a first estimate, based on the demand and the amount of money destined to attend this problem by every health institution, it was concluded that the average annual expenses in medical attention for schizophrenia was us97.54 per person. the health sector reports that the cost for a psychiatric evaluation or psychotherapy amounts to us1.42 and the estimated annual cost for the treatment of schizophrenia in a public institution amounts to somewhere between us60.34 and us2,1 86.83; all this would depend on the haloperidol or clozapine drug. in a private in

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