Fiscal outcomes of the closing of Central State Hospital: an analysis of the costs to state government.
Fiscal outcomes of the closing of Central State Hospital: an analysis of the costs to state government.
复制标题
中央州立医院关闭的财政结果：州政府成本分析。
DOI：
10.1007/bf02287272
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Wright,ER
中科院分区：
文献类型：
--
作者：
Wright,ER
This study reports estimates of the preclosure and postclosure costs of mental health services for patients directly affected by the closing of Central State Hospital. The data come from state budget documents and from the billing records of the community mental health centers serving the discharged clients. On average, it cost Indiana approximately $68,347 (in 1995 dollars) to provide 12 months of state hospital care for this client cohort in fiscal year 1993. In contrast, during the first year following the closure, the average per patient cost to the state was $55,417. When clients were served exclusively in community care settings, the average annual per patient cost was $40,618. The analyses suggest that the closing reduced the costs of caring for this cohort of patients by approximately 18.9%. A significant portion of the cost savings to the state mental health budget was achieved by shifting some of the direct patient care costs to Medicaid/Medicare.
