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Mental Health Care in Italy: Organisational Structure, Routine Clinical Activity and Costs of a Community Psychiatric Service in Lombardy Region

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  • Giovanni Fattore
  • Mauro Percudani
  • Carla Pugnoli
  • Agostino Contini
  • Jennifer Beecham

Abstract

The Magenta Community Mental Health Centre (CMHC) is the public agency responsible for providing adult psychiatric care to about 85,000 adult residents. In 1995, it had 1,145 clients and incurred costs of Euro 1.9 millions. Average cost per patient and per adult resident were Euro 1,661 and Euro 22.2, respectively. These values mask large variation across diagnosis: while patients with schizophrenia and related disorders had an average cost of Euro 3,771, those with neurotic and related disorders had an average cost of Euro 439. Patients with schizophrenia and related disorders (28% of the patients) absorbed about 60% of total costs and made extensive use of several types of services (hospital, outpatient, domiciliary, social and rehabilitative care). Since integrating different types of services is the key element of Italian psychiatric care, the new fee-for-service system adopted by the NHS to fund providers does not appear appropriate, particularly for schizophrenic patients.

Suggested Citation

  • Giovanni Fattore & Mauro Percudani & Carla Pugnoli & Agostino Contini & Jennifer Beecham, 2000. "Mental Health Care in Italy: Organisational Structure, Routine Clinical Activity and Costs of a Community Psychiatric Service in Lombardy Region," International Journal of Social Psychiatry, , vol. 46(4), pages 250-265, December.
    • Handle: RePEc:sae:socpsy:v:46:y:2000:i:4:p:250-265
    DOI: 10.1177/002076400004600403
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    References listed on IDEAS

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    1. Giovanni de Girolamo, 1989. "Italian Psychiatry and Reform Law: a Review of the International Literature," International Journal of Social Psychiatry, , vol. 35(1), pages 21-37, March.
    2. Benedetto Saraceno & Gianni Tognoni, 1989. "Methodological Lessons From the Italian Psychiatric Experience," International Journal of Social Psychiatry, , vol. 35(1), pages 98-109, March.
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    1. Percudani, Mauro & Barbui, Corrado & Beecham, Jennifer & Knapp, Martin, 2004. "Routine outcome monitoring in clinical practice : service and non-service costs of psychiatric patients attending a community mental health centre in Italy," LSE Research Online Documents on Economics 325, London School of Economics and Political Science, LSE Library.
    2. Yuxi Wang & Giovanni Fattore, 2020. "The impact of the great economic crisis on mental health care in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1259-1272, November.

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