Health insurance expenses caused by adolescents with a diagnosis of conduct disorder

被引：22

作者：

Ewest, Franziska ^{[1
]}

Reinhold, Thomas ^{[2
]}

Vloet, Timo D. ^{[3
]}

Wenning, Volker ^{[4
]}

Bachmann, Christian J. ^{[1
,5
]}

机构：

[1] Charite, Klin Psychiat Psychosomat & Psychotherapie Kindes, D-13353 Berlin, Germany

[2] Charite, Inst Sozialmed Epidemiol & Gesundheitsokon, D-10117 Berlin, Germany

[3] Rhein Westfal TH Aachen, Univ Klinikum, Klin Psychiat Psychosomat & Psychotherapie Kindes, Fak Med, D-52074 Aachen, Germany

[4] AOK Nordost, Bereich Datenmanagement & Anal, D-10963 Berlin, Germany

[5] Univ Klinikum Giessen & Marburg GmbH, Klin Kinder & Jugendpsychiat & Psychotherapie, D-35039 Marburg, Germany

来源：

KINDHEIT UND ENTWICKLUNG | 2013年 / 22卷 / 01期

关键词：

adolescents; conduct disorder; expenses; health economy; health insurance; MULTISYSTEMIC THERAPY MST; ANTISOCIAL-BEHAVIOR; FOLLOW-UP; SERVICE USE; CHILDREN; CHILDHOOD; COST; IMPLEMENTATION; ANXIETY; IMPACT;

D O I：

10.1026/0942-5403/a000097

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

This study is based on data from a large German statutory health insurance organization. The index group (IG; N=665) consisted of patients aged 13-18 years with documented ICD-10 codes for conduct disorder and oppositional defiant order and was compared with an age-and sex-matched control group (CG; N=16,625). While mean expenses in the CG were 687 sic per year, IG expenses were 3.83 times higher than that (2,632 sic) (p<0.001). In both groups, females caused higher costs than males (IG: 2,883 sic vs. 2,501 sic, p=0.41; CG: 758 sic vs. 649 sic, p=0.22). In our study, adolescents with a documented diagnosis of conduct disorder caused significantly higher health insurance expenses than did adolescents without this diagnosis. These results underline the health-economic impact of this psychiatric disorder.

引用

页码：41 / 47

页数：7

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