IJCNMH ARCpublishing

Issue: Issue 4 (2017) – Supplement 3

Original Article

The cost and burden of schizophrenia in Portugal in 2015

Miguel Gouveia, Raquel Ascenção, Francesca Fiorentino, João Pascoal, João Costa, and Margarida Borges
Introduction: Schizophrenia is an important cause of disability and consumption of economic resources. This study aims to estimate the costs and the burden of schizophrenia in mainland Portugal in 2015. 
Methods: The burden of disease was measured through disability-adjusted life years (DALY), a metric adopted by the World Health Organisation. The cost of illness was estimated based on the prevalence and adopting a comprehensive perspective of society. Costs included direct consumption of resources and indirect costs of patients and caregivers (loss of productivity). The main sources of cost data were: Diagnosis Related Groups (DRG), healthcare delivery contracts, drug consumption, and expert opinion. 
Results: The prevalence of schizophrenia is approximately 48,000 patients, and approximately 41,000 patients are followed in the healthcare system (both public and private units). In 2015, 28,588 DALYs were lost (84% due to disability; 16% due to premature death). At 2015 prices, estimated direct costs totalled €96.1 million, while indirect costs totalled €340.3 million; 97% of the indirect costs were generated by patients, the remaining by the caregivers.
Conclusion: Schizophrenia has an important social impact in Portugal due to the associated morbidity, with a total estimated cost in 2015 of €436.3 million, approximately 0.24% of the Gross Domestic Product. Direct costs represent 0.6% of all healthcare expenditures during 2015, while total costs (direct and indirect) represent 2.7% of healthcare expenditures.

Keywords: Schizophrenia, Cost of Illness, Burden of Disease, Disability-adjusted life years.

Special Issue on the Neurobiology of Mental Illness

International Journal of Clinical Neurosciences and Mental Health 2017; 4(Suppl. 3):S13
DOI: https://doi.org/10.21035/ijcnmh.2017.4(Suppl.3).S13

Supplementary material:

Portuguese version of the manuscript

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