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- Title
Healthcare utilization costs of emerging adults with mood and anxiety disorders in an early intervention treatment program compared to a matched cohort.
- Authors
John‐Baptiste, Ava A.; Li, Lihua; Isaranuwatchai, Wanrudee; Osuch, Elizabeth; Anderson, Kelly K.
- Abstract
Aim: The First Episode Mood and Anxiety Disorder Program (FEMAP) provides treatment to emerging adults with mood and anxiety disorders in an accessible, youth‐friendly environment. We sought to investigate FEMAP's impact on the costs of care. Methods: We conducted a retrospective observational study of one‐year health service costs using linked administrative datasets to compare emerging adults treated at FEMAP (FEMAP users) to propensity‐score matched controls (non‐users). Costs from the perspective of the Ontario Ministry of Health and Long‐Term Care, included drug benefit claims, inpatient, physician and ambulatory care services. We used bootstrapping to perform unadjusted comparisons between FEMAP users and non‐users, by cost category and overall. We performed risk‐adjusted comparison of overall costs using generalized estimating equations. Results: FEMAP users (n = 366) incurred significantly lower costs compared to non‐users (n = 660), for inpatient services (−$784, 95% confidence interval [CI] −$1765, −$28), ambulatory care services (−$90, 95% CI −$175, −$14) and drug benefit claims (−$47, 95% CI ‐$115,‐$4) and significantly higher physician services costs ($435, 95% CI $276, $581) over 1 year. The unadjusted difference in overall costs was not significant (−$853, 95% CI −$2048, $142). Following adjustment for age, sex and age at first mental health diagnosis, the difference of −$914 (95% CI (−$2747, $919)) was also not significant. Conclusions: FEMAP was associated with significantly lower costs of inpatient and ambulatory care services, and higher costs of physician services, however we are unable to conclude that FEMAP is cost‐saving overall.
- Subjects
ONTARIO; ANXIETY disorders; AFFECTIVE disorders; TREATMENT programs; GENERALIZED estimating equations; OUTPATIENT medical care
- Publication
Early Intervention in Psychiatry, 2019, Vol 13, Issue 6, p1439
- ISSN
1751-7885
- Publication type
Article
- DOI
10.1111/eip.12790