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Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.

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Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.

dc.contributor.author	Quintero, Javier
dc.contributor.author	Ramos Quiroga, J.Antoni
dc.contributor.author	San Sebastián, Javier
dc.contributor.author	Montañés, Francisco
dc.contributor.author	Fernández Jaén, Alberto
dc.contributor.author	Martínez Raga, José
dc.contributor.author	Garcia Giral, Marta
dc.contributor.author	Graell, Montserrat
dc.contributor.author	Mardomingo, Maria J.
dc.contributor.author	Soutullo, César
dc.contributor.author	Eiris, Jesús
dc.contributor.author	Téllez, Montserrat
dc.contributor.author	Pamias, Montserrat
dc.contributor.author	Correas, Javier
dc.contributor.author	Sabaté, Juncal
dc.contributor.author	García Orti, Laura
dc.contributor.author	Alda, Jose A.
dc.date.accessioned	2020-11-10T09:23:23Z
dc.date.available	2020-11-10T09:23:23Z
dc.date.issued	2018
dc.identifier.citation	Quintero, Javier Ramos Quiroga, J.Antoni San Sebastián, Javier Montañés, Francisco Fernández Jaén, Alberto Martínez Raga, José Garcia Giral, Marta Graell, Montserrat Mardomingo, Maria J. Soutullo, César Eiris, Jesús Téllez, Montserrat Pamias, Montserrat Correas, Javier Sabaté, Juncal García Orti, Laura Alda, Jose A. 2018 Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis. Bmc Psychiatry 18 1 40
dc.identifier.uri	https://hdl.handle.net/10550/76300
dc.description.abstract	Background: Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental condition in childhood (5.3% to 7.1% worldwide prevalence), with substantial overall financial burden to children/adolescents, their families, and society. The aims of this study were to describe the clinical characteristics of children and adolescents with ADHD in Spain, estimate the associated direct/indirect costs of the disorder, and assess whether the characteristics and financial costs differed between children/adolescents adequately responding to currently available pharmacotherapies compared with children/adolescents for whom pharmacotherapies failed. Methods: This was a multicenter, cross-sectional, descriptive analysis conducted in 15 health units representative of the overall Spanish population. Data on demographic characteristics, socio-occupational status, social relationships, clinical variables of the disease, and pharmacological and non-pharmacological treatments received were collected in 321 children and adolescents with ADHD. Direct and indirect costs were estimated over one year from both a health care system and a societal perspective. Results: The estimated average cost of ADHD per year per child/adolescent was ¿5733 in 2012 prices; direct costs accounted for 60.2% of the total costs (¿3450). Support from a psychologist/educational psychologist represented 45.2% of direct costs and 27.2% of total costs. Pharmacotherapy accounted for 25.8% of direct costs and 15.5% of total costs. Among indirect costs (¿2283), 65.2% was due to caregiver expenses. The total annual costs were significantly higher for children/adolescents who responded poorly to pharmacological treatment (¿7654 versus ¿5517; P = 0.024), the difference being mainly due to significantly higher direct costs, particularly with larger expenses for non-pharmacological treatment (P = 0.012). Conclusions: ADHD has a significant personal, familial, and financial impact on the Spanish health system and society. Successful pharmacological intervention was associated with lower overall expenses in the management of the disorder.
dc.language.iso	eng
dc.relation.ispartof	Bmc Psychiatry, 2018, vol. 18, num. 1, p. 40
dc.subject	Psiquiatria
dc.subject	Trastorns de l'atenció
dc.title	Health care and societal costs of the management of children and adolescents with attention-deficit/hyperactivity disorder in Spain: a descriptive analysis.
dc.type	journal article	es_ES
dc.date.updated	2020-11-10T09:23:23Z
dc.identifier.doi	10.1186/s12888-017-1581-y
dc.identifier.idgrec	141199
dc.rights.accessRights	open access	es_ES