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Financial Burden of Psychiatric Disorders of Telangana State, India


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1 501, Highlight Haveli, Street No. 6, Habsiguda, Hyderabad 500 007, India
 

Psychiatric disorders can be devastating, causing damage to the patient, his/her family and society. Financial aspect is the main criterion in a disease or group of diseases for decision-making, planning and prioritizing issues. The aim of the present study was to estimate the tangible cost of psychiatric disorders per annum in Telangana, India, from societal perspective. Cost estimation of various components was done under direct and indirect heads. The direct costs included were consultation, drugs, inpatients, investigations, procedures, psychologist consultation, rehabilitation and travel for treatment. The indirect costs included attendant, disability benefits, faith healing, loss of taxes on earnings, patients in conflict with the law, student training, statutory bodies, substance abuse, suicide and attempted suicide, work absence/loss of wages and productivity. Costs were also estimated based on other published works and local conditions. Of the Rs 140,963.0 crore cost, direct costs were only a small fraction (2%) while fraction indirect costs were high (98%). Cost due to wages and productivity loss accounted for 55% of the total cost. The estimated arrived at was several times more than the total health budget of the state. Thus, there is an urgent need to improve and expand mental health services to reduce the financial burden

Keywords

Case Study, Cost Estimation, Financial Burden, Health Budget, Psychiatric Disorders.
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  • https://www.who.int/campaigns/world-mental-health-day

  • Sagar, R. et al., The burden of mental disorders across the states of India: The Global Burden of Disease Study 1990–2017. India State Level Disease Burden Initiative Mental Disorders Collaborators. Lancet Psychiatry, 2020, 7, 148–161.

  • World Mental Health Day: Nearly half of India Inc employees suffer from depression, 30 April 2020; https://economictimes.india-times.com/magazines/panache/world-mental-health-day-nearly-half-of-india-inc-employees-suffer-from-depression/articleshow/66119215.Cms?Utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst

  • Math, S. B. et al., Cost estimation for the implementation of the Mental Healthcare Act 2017. Indian J. Psychiatry, 2019, 61(Suppl. S4), 650–659.

  • Jo, C., Cost-of-illness studies: concepts, scopes, and methods. Clin. Mol. Hepatol., 2014, 20, 327–337.

  • musculoskeletalkey.com/economic-burden-of

  • Tarricone, R., Cost-of-illness analysis. What room in health economics? Health Policy, 2006, 77, 51–63; doi:10.1016/j.healthpol. 2005.07.016.

  • Knapp, M., Hidden costs of mental illness. Br. J. Psychiatry, 2003, 183, 477–478; doi:https://doi.org/10.1192/03-29.

  • https://www.salaryhood.com/in/psychiatrist-salary-in-hyderabad-telangana-pay-scale-income-report/

  • https://telangana.20govt.com/esic-hospital-hyderabad-recruitment-jobs/

  • Sarkar, S., Mathan, K., Sakey, S., Shaik, S., Subramanian, K. and Kattimani, S., Cost-of-treatment of clinically stable severe mental illnesses in India. Indian J. Soc. Psychiatry, 2017, 33, 262–268.

  • Singla, M., Goyal, S. K., Sood, A., Philips, A. and Philips, S., Profile, and pattern of follow-ups of psychiatry outpatients at Christian Medical College, Ludhiana. J. Mental Health Hum. Behav., 2015, 20, 76–79.

  • Ambekar, A., Agrawal, A., Rao, R., Mishra, A. K., Khandelwal, S. K. and Chadda, R. K., On behalf of the group of investigators for the National Survey on Extent and Pattern of Substance Use in India. Magnitude of substance use in India. Ministry of Social Justice and Empowerment, Government of India, and NDDTC, AIIMS, New Delhi, February 2019; http://socialjustice.nic.in/writereaddata/UploadFile/Magnitude_Substance_Use_India_REPORT.pdf

  • Vadlamani, L. N. and Gowda, M., Practical implications of Mental Healthcare Act 2017: Suicide and suicide attempt. Indian J. Psychiatry, 2019, 61(S4), 750–755.

  • Radhakrishnan, R. and Andrade, C., Suicide: an Indian perspective. Indian J. Psychiatry, 2012, 54, 304–319.

  • Poduri, G. S., Short-term cost of suicides in India. Indian J. Psychol. Med., 2016, 38, 524–528.

  • https://www.simpliance.in/minimum-wages/Telangana range from 361.14–432.56

  • Verma, R., Gupta, S. K., Satpathy, S., Kant, S., Chumber, S. and Deka, R. C., Determination of the cost of training of undergraduate medical (MBBS) for student’s at the All India Institute of Medical Sciences, New Delhi, India. Int. J. Res. Found. Hosp. Health Admin., 2013, 1, 1–7.

  • TaxGurutaxguru.in › income-tax › cost-inflation-index-fy-2019-20-ay-2020-21

  • www.sadarem.telangana.gov.in

  • Poduri, G. S., An analysis of suicides in Telangana. Indian J. Priv. Psychiatry, 2019, 13, 1–3.

  • Gopala Sarma, P., Cost of schizophrenia in India. Indian J. Psychol. Med., 2005, 26, 80–82.

  • Christensen, M., Lim, C., Saha, S., Plana-Ripoll, O., Cannon, D., Presley, F. and McGrath, J., The cost of mental disorders: a systematic review. Epidemiol. Psychiatric Sci., 2020, 29, E161; doi:10.1017/S204579602000075X.

  • https://www.prsindia.org/parliamenttrack/budgets/telangana-budget-analysis-2020-21

  • Sagar, R. et al., Twelve-month prevalence and treatment gap for common mental disorders: findings from a large-scale epidemiological survey in India. Indian J. Psychiatry, 2017, 59, 46–55.

  • https://yhec.co.uk/glossary/cost-of-illness/

  • Darrel, P. D. and Ruth, F. G., The economic argument for a policy of suicide prevention. Suicidol. Online, 2010, 1, 66–75.


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  • Financial Burden of Psychiatric Disorders of Telangana State, India

Abstract Views: 310  |  PDF Views: 109

Authors

Gopala Sarma Poduri
501, Highlight Haveli, Street No. 6, Habsiguda, Hyderabad 500 007, India

Abstract


Psychiatric disorders can be devastating, causing damage to the patient, his/her family and society. Financial aspect is the main criterion in a disease or group of diseases for decision-making, planning and prioritizing issues. The aim of the present study was to estimate the tangible cost of psychiatric disorders per annum in Telangana, India, from societal perspective. Cost estimation of various components was done under direct and indirect heads. The direct costs included were consultation, drugs, inpatients, investigations, procedures, psychologist consultation, rehabilitation and travel for treatment. The indirect costs included attendant, disability benefits, faith healing, loss of taxes on earnings, patients in conflict with the law, student training, statutory bodies, substance abuse, suicide and attempted suicide, work absence/loss of wages and productivity. Costs were also estimated based on other published works and local conditions. Of the Rs 140,963.0 crore cost, direct costs were only a small fraction (2%) while fraction indirect costs were high (98%). Cost due to wages and productivity loss accounted for 55% of the total cost. The estimated arrived at was several times more than the total health budget of the state. Thus, there is an urgent need to improve and expand mental health services to reduce the financial burden

Keywords


Case Study, Cost Estimation, Financial Burden, Health Budget, Psychiatric Disorders.

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DOI: https://doi.org/10.18520/cs%2Fv124%2Fi3%2F355-358