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The cost of mental health: Where do we stand in France?
Laidi, Charles; Blampain-Segar, Laeticia; Godin, Ophélia; de Danne, Anne; Leboyer, Marion; Durand-Zaleski, Isabelle.
  • Laidi C; Univ Paris Est Créteil, INSERM U955, IMRB, Translational Neuro-Psychiatry, F-94010 Créteil, France; AP-HP, Hôpitaux Universitaires Henri Mondor, Département Médico-Universitaire de Psychiatrie et d'Addictologie (DMU IMPACT), Fédération Hospitalo-Universitaire de Médecine de Précision en Psychiatrie
  • Blampain-Segar L; La Fondation FondaMental, F-94010 Créteil, France; AP-HP Health Economics Research Unit, Hotel Dieu Hospital, INSERM UMR 1153 CRESS, Paris, France.
  • Godin O; Univ Paris Est Créteil, INSERM U955, IMRB, Translational Neuro-Psychiatry, F-94010 Créteil, France; La Fondation FondaMental, F-94010 Créteil, France.
  • de Danne A; La Fondation FondaMental, F-94010 Créteil, France.
  • Leboyer M; Univ Paris Est Créteil, INSERM U955, IMRB, Translational Neuro-Psychiatry, F-94010 Créteil, France; AP-HP, Hôpitaux Universitaires Henri Mondor, Département Médico-Universitaire de Psychiatrie et d'Addictologie (DMU IMPACT), Fédération Hospitalo-Universitaire de Médecine de Précision en Psychiatrie
  • Durand-Zaleski I; AP-HP Health Economics Research Unit, Hotel Dieu Hospital, INSERM UMR 1153 CRESS, Paris, France.
Eur Neuropsychopharmacol ; 69: 87-95, 2023 04.
Article Dans Anglais | MEDLINE | ID: covidwho-2267812
ABSTRACT
Mental disorders often begin early in life and constitute five of the top ten causes of disability. Their total cost across Europe is estimated at more than 4% of GDP (more than € 600 billion). The last study investigating the cost of mental disorders in France by our group was based on data from 2007 and yielded an estimated indirect and direct cost of € 109 billions. The objective of this study was thus to provide an overall updated cost of mental health in France ten years later and before the COVID-19 pandemic. We estimated the costs related to the direct healthcare and medico-social system, loss of productivity and loss of quality of life. We conducted a literature search to identify direct healthcare, medico-social, indirect (loss of productivity and income compensation) and loss of quality of life during 2018. We included costs related to major psychiatric disorders, including autism and intellectual disability, but excluded the costs related to dementia. Our estimate of the total cost of mental disorders in France, including medical (14%), social (8%), indirect (27%) and loss of quality of life (51%), was € 163 billions in 2018. This total cost includes money spend, forgone earnings and DALYs lost. We found a 50% increase in costs relative to our previous 2007 study. Large-scale cost-effective interventions such as specialized consultations or the development of ambulatory care could help decrease direct healthcare costs related to hospitalization and productivity loss while greatly improving the quality of life of patients.
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Texte intégral: Disponible Collection: Bases de données internationales Base de données: MEDLINE Sujet Principal: Qualité de vie / COVID-19 Type d'étude: Étude observationnelle Limites du sujet: Humains Pays comme sujet: Europe langue: Anglais Revue: Eur Neuropsychopharmacol Thème du journal: Psychopharmacologie Année: 2023 Type de document: Article

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Texte intégral: Disponible Collection: Bases de données internationales Base de données: MEDLINE Sujet Principal: Qualité de vie / COVID-19 Type d'étude: Étude observationnelle Limites du sujet: Humains Pays comme sujet: Europe langue: Anglais Revue: Eur Neuropsychopharmacol Thème du journal: Psychopharmacologie Année: 2023 Type de document: Article