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Cost-effectiveness of community psychiatric nurse or out-patient psychiatrist care of neurotic patients

Published online by Cambridge University Press:  09 July 2009

S. P. Mangen ,
E. S. Paykel ,
J. H. Griffith ,
A. Burchell  and
P. Mancini
S. P. Mangen*
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London, and the Economic Advisers Office, Department of Health and Social Security
E. S. Paykel*
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London, and the Economic Advisers Office, Department of Health and Social Security
J. H. Griffith
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London, and the Economic Advisers Office, Department of Health and Social Security
A. Burchell
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London, and the Economic Advisers Office, Department of Health and Social Security
P. Mancini
Affiliation:
Department of Psychiatry, St George's Hospital Medical School, London, and the Economic Advisers Office, Department of Health and Social Security
*
1Address for correspondence: Dr S. P. Mangen, 9 The Butts, Brentford, Middlesex TW8 8BJ.
2Address for reprints: Professor E. S. Paykel, Department of Psychiatry, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE.
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Synopsis

In a prospective controlled investigation chronic patients, the majority with neurotic conditions, were randomly allocated either to community psychiatric nurses (CPN) as the main therapist or to routine out-patient psychiatrist follow-up. There was no statistically significant difference in the mean public expenditure for the two modes of care. The direct costs of psychiatric care comprised a small proportion of total public expenditure and were initially greater in the nursing group. Subsequently, and over the whole 18-month study period, nursing was the cheaper option in terms of these direct costs. Clinical and social outcomes were comparable in both follow-up groups. Consumer satisfaction was significantly greater among CPN patients. On balance, these results confirm the benefit of community psychiatric nursing for this patient group.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 2 , May 1983 , pp. 407 - 416
Copyright
Copyright © Cambridge University Press 1983

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References

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