Hospital treatment, mortality and healthcare costs in relation to socioeconomic status among people with bipolar affective disorder. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Pan, Yi-Ju.; Yeh, Ling-Ling; Chen, Yu-Chun; Kuo, Kuei-Hong; Chang, Chin-Kuo
• Is Part Of: BJPsych open. Volume 2:Issue 1(2016)
• Page Start: 10
• Page End: 17
• Publication Date: 2016-01
• Subjects: Psychiatry -- Periodicals; Mental health -- Periodicals; 616.89005
• DOI: 10.1192/bjpo.bp.115.000810
• Languages: English
• ISSNs: 2056-4724

Abstract

Abstract : Background: Evidence regarding the relationships between the socioeconomic status and long-term outcomes of individuals with bipolar affective disorder (BPD) is lacking. Aims: We aimed to estimate the effects of baseline socioeconomic status on longitudinal outcomes. Method: A national cohort of adult participants with newly diagnosed BPD was identified in 2008. The effects of personal and household socioeconomic status were explored on outcomes of hospital treatment, mortality and healthcare costs, over a 3-year follow-up period (2008–2011). Results: A total of 7987 participants were recruited. The relative risks of hospital treatment and mortality were found elevated for the ones from low-income households who also had higher healthcare costs. Low premium levels did not correlate with future healthcare costs. Conclusions: Socioeconomic deprivation is associated with poorer outcome and higher healthcare costs in BPD patients. Special care should be given to those with lower socioeconomic status to improve outcomes with potential benefits of cost savings in the following years.