ArticlePloS one2016
Schizophrenia in the Netherlands: Continuity of Care with Better Quality of Care for Less Medical Costs.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Continuity of Care and Patient Outcomes in Populations With Schizophrenia: A Systematic Review.Psychiatric services (Washington, D.C.) · 2026Pooled it
- Relational continuity may give better clinical outcomes in patients with serious mental illness - a systematic review.BMC psychiatry · 2023Pooled it
- Does Non-Adherence Increase Treatment Costs in Schizophrenia?PharmacoEconomics · 2018Pooled it
- "We Don't Stay Where We Feel Weak": Experiences of Men Discontinuing Mental Health Services in Türkiye.Journal of marital and family therapy · 2026Article
- Discontinuity of psychiatric care among patients with bipolar disorder in the Netherlands.The International journal of social psychiatry · 2025Article
- Association between continuity of care and treatment outcomes in psychiatric patients in Germany: a prospective cohort study.BMC psychiatry · 2023Article
- The quality of mental health care delivered to patients with schizophrenia and related disorders in the Italian mental health system. The QUADIM project: a multi-regional Italian investigation based on healthcare utilisation databases.Epidemiology and psychiatric sciences · 2022Article
- Healthcare Provider Engagement with a Novel Dashboard for Tracking Medication Ingestion: Impact on Treatment Decisions and Clinical Assessments for Adults with Schizophrenia.Neuropsychiatric disease and treatment · 2022Article
- Discontinuity of psychiatric care for patients with schizophrenia, relation to previous psychiatric care and practice variation between providers: a retrospective longitudinal cohort study.BMC psychiatry · 2021Article
- Personal-recovery-oriented community mental healthcare: qualitative evaluation of a developmental project.BMJ open · 2020Article
- Impact of family practice continuity of care on unplanned hospital use for people with serious mental illness.Health services research · 2019Observational
- Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands.PloS one · 2019Observational
- Direct medical costs for patients with schizophrenia: a 4-year cohort study from health insurance claims data in Guangzhou city, Southern China.International journal of mental health systems · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with schizophrenia need continuous elective medical care which includes psychiatric treatment, antipsychotic medication and somatic health care. The objective of this study is to assess whether continuous elective psychiatric is associated with less health care costs due to less inpatient treatment.
methodsData concerning antipsychotic medication and psychiatric and somatic health care of patients with schizophrenia in the claims data of Agis Health Insurance were collected over 2008-2011 in the Netherlands. Included were 7,392 patients under 70 years of age with schizophrenia in 2008, insured during the whole period. We assessed the relationship between continuous elective psychiatric care and the outcome measures: acute treatment events, psychiatric hospitalization, somatic care and health care costs.
resultsContinuous elective psychiatric care was accessed by 73% of the patients during the entire three year follow-up period. These patients received mostly outpatient care and accessed more somatic care, at a total cost of €36,485 in three years, than those without continuous care. In the groups accessing fewer or no years of elective care 34%-68% had inpatient care and acute treatment events, while accessing less somatic care at average total costs of medical care from €33,284 to €64,509.
conclusionsContinuous elective mental and somatic care for 73% of the patients with schizophrenia showed better quality of care at lower costs. Providing continuous elective care to the remaining patients may improve health while reducing acute illness episodes.
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