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The economic impact of mental healthcare consumption before and after stroke in a cohort of stroke patients in the Netherlands: a record linkage study

Overview of attention for article published in BMC Health Services Research, December 2016
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Title
The economic impact of mental healthcare consumption before and after stroke in a cohort of stroke patients in the Netherlands: a record linkage study
Published in
BMC Health Services Research, December 2016
DOI 10.1186/s12913-016-1915-3
Pubmed ID
Authors

M. van Eeden, G. A. P. G. van Mastrigt, S. M. A. A. Evers, E. P. M. van Raak, G. A. M. Driessen, C. M. van Heugten

Abstract

Post-stroke healthcare consumption is strongly associated with a mental health diagnosis. This study aimed to identify stroke patients who utilised mental healthcare facilities, explored their mental healthcare consumption pre-stroke and post-stroke, and examined possible predictors of costs incurred by mental healthcare consumption post-stroke. Three databases were integrated, namely the Maastricht University Medical Centre (MUMC) Medical Administration, the Stroke Registry from the Department of Neurology at MUMC, and the Psychiatric Case Registry South-Limburg. Patients from the MUMC who suffered their first-ever stroke between January 1 2000 and December 31 2004 were included and their records were analysed for mental healthcare consumption from 5 years preceding to 5 years following their stroke (1995-2009). Regression analysis was conducted to identify possible predictors of mental healthcare consumption costs. A total of 1385 patients were included and 357 (25.8%) received services from a mental healthcare facility during the 10-year reference period around their stroke. The costs of mental healthcare usage increased over time and peaked 1 year post-stroke (€7057; 22% of total mental healthcare costs). The number of hospitalisation days and mental healthcare consumption pre-stroke were significant predictors of mental healthcare costs. Explained variances of these models (costs during the 5 years post-stroke: R (2) = 15.5%, costs across a 10 year reference period: R (2) = 4.6%,) were low. Stroke patients have a significant level of mental healthcare comorbidity leading to relatively high mental healthcare costs. There is a relationship between stroke and mental healthcare consumption costs, but results concerning the underlying factors responsible for these costs are inconclusive.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Malaysia 1 2%
Unknown 40 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 24%
Student > Bachelor 8 20%
Student > Master 5 12%
Student > Ph. D. Student 5 12%
Student > Doctoral Student 1 2%
Other 3 7%
Unknown 9 22%
Readers by discipline Count As %
Medicine and Dentistry 9 22%
Biochemistry, Genetics and Molecular Biology 4 10%
Nursing and Health Professions 4 10%
Agricultural and Biological Sciences 3 7%
Psychology 3 7%
Other 7 17%
Unknown 11 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 December 2016.
All research outputs
#21,264,673
of 23,881,329 outputs
Outputs from BMC Health Services Research
#7,442
of 7,949 outputs
Outputs of similar age
#360,324
of 425,104 outputs
Outputs of similar age from BMC Health Services Research
#104
of 111 outputs
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