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Article details
Title
Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non‐psychotic conditions in England: implications for commissioning
Published in
International Journal of Geriatric Psychiatry, March 2016
DOI 10.1002/gps.4455
Pubmed ID
Authors
Abstract

Current plans in the English National Health Service are to replace block contracts for mental health providers with a single tariff for each 'cluster' of conditions. A single tariff will not take into account the potential additional complexity and costs inherent in caring for older people. To examine the basis for a uniform tariff, differences in service utilisation and costs between working age adults and older adults in two populous clusters (non-psychotic, psychotic) were investigated across five mental health healthcare providers in and around London. Retrospective review of records over 3 months assessing service utilisation and costs using the Client Services Receipt Inventory. Records of 362 patients were reviewed, 179 older adults (90 non-psychotic, 89 psychotic) and 183 adults of working age (83 non-psychotic, 100 psychotic). Older adults in both clusters had more tests, assessments and home visits. Overall costs of care of older adults were significantly higher in the non-psychotic cluster (£5634, vs £4405 psychotic, p = 0.044). An appropriate age-related tariff is required for each cluster. Copyright © 2016 John Wiley & Sons, Ltd.

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Mendeley demographics

Mendeley demographics

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.
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Geographical breakdown

Geographical breakdown
Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status
Readers by professional status Count As %
Student > Master 5 17%
Researcher 5 17%
Other 4 14%
Lecturer 2 7%
Student > Ph. D. Student 2 7%
Other 5 17%
Unknown 6 21%
Readers by discipline
Readers by discipline Count As %
Medicine and Dentistry 6 21%
Psychology 4 14%
Nursing and Health Professions 3 10%
Social Sciences 2 7%
Engineering 2 7%
Other 4 14%
Unknown 8 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 March 2016.
All research outputs
#22,018,175
of 24,565,648 outputs
Outputs from International Journal of Geriatric Psychiatry
#2,308
of 2,535 outputs
Outputs of similar age
#262,443
of 305,403 outputs
Outputs of similar age from International Journal of Geriatric Psychiatry
#42
of 60 outputs
Altmetric has tracked 24,565,648 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,535 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 305,403 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 60 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.