ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2022
Factors associated with high health care spending among patients with schizophrenia.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Resource Utilization in Severe Mental Illness (SMI) Before, During and After a Psychosocial Health Promotion Program - a Shift in Resource Utilization Towards Primary Care.Community mental health journal · 2026Article
- Resource Utilization in Severe Mental Illness (SMI) Before, During and After a Psychosocial Health Promotion Program - a Shift in Resource Utilization Towards Primary Care.Community mental health journal · 2026Article
- A study on the effect of catastrophic health expenditures on socially vulnerable groups.BMC public health · 2026Article
- Article
- Heat Resilience and Severe & Persistent Mental Illness.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Repetitive transcranial magnetic stimulation combined with olanzapine and amisulpride for treatment-refractory schizophrenia.World journal of psychiatry · 2023Article
- Preventing heat-related illness in people with severe and persistent mental illness: a quality improvement educational intervention.The journal of climate change and healthArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUnderstanding the reasons for the wide variation in health care spending among patients with schizophrenia may benefit the development of interventions aimed at improving patient outcomes and health care spending efficiency. The aim of our study was to determine factors associated with high health care spending in the patient population.
methodsA serial cross-sectional study used the administrative health records of residents of Alberta, Canada between 1 January 2008 and 31 December 2017 and provincial costing methodologies to calculate total health care spending and sector-specific costs. Factors that modified the odds of being a high cost (i.e. 95th percentile or higher) patient with schizophrenia were estimated using generalized estimating equations.
resultsThis study captured 242 818 person-years of observations among 38 177 unique patients with schizophrenia. Increased odds of being a high-cost patient were associated with younger age (18-29 years), male sex, unstable housing status and requiring care from multiple medical specialties. The strongest estimated associations between high cost status and comorbidity were for metastatic cancer (OR = 2.26) and cirrhosis (OR = 2.07). In contrast, polypharmacy was associated with a decreased odds of being high cost compared with untreated patients.
conclusionFactors associated with being a high-cost patient are the result of complex interactions between individual, structural and treatment-related factors. Efforts to improve patient outcomes and address rising health care costs must consider the value of allocating resources towards early detection and support of patients with schizophrenia along with the prevention/management of comorbidity.
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