Pubblicazioni

Autori:

Tinazzi, Michele; Gandolfi, Marialuisa; Menaspà, Zoe; Sandri, Angela; Landi, Stefano; Leardini, Chiara

Titolo:

Reducing healthcare costs by timely diagnosis and management in functional motor disorders

Anno:

2024

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

A Stampa

Referee:

Sì

Nome rivista:

NEUROLOGICAL SCIENCES

ISSN Rivista:

1590-1874

N° Volume:

First published online: 13 November 2024

Intervallo pagine:

1-10

Parole chiave:

Cost; Diagnosis; Early intervention; Health care delivery; Rehabilitation

Breve descrizione dei contenuti:

Background: Functional motor disorders (FMDs) are prevalent and highly disabling conditions among young adults, leading to reduced independence. Despite advancements in diagnosis and treatment, the economic burden of FMDs remains largely unknown. Objective: This study evaluates the impact of accurate FMDs diagnosis on direct healthcare costs within the Italian National Health System by comparing healthcare utilization and costs before and after diagnosis. Methods: This before-after study included 40 patients with a definite diagnosis of FMDs. Retrospective data on healthcare utilization, including diagnostic tests, specialist visits, hospitalizations, Emergency Room (ER) visits, and rehabilitation services, were collected from diaries and documents two years before and after diagnosis. Results: Healthcare direct costs decreased by 67%, from an average of €4,467 [95% CI 3,604-5,329] to €1,461 [95% CI 945-1,976] after diagnosis. Hospitalization costs fell from €2,618 [95% CI 1,899-3,336] to €492 [95% CI 162-821], and ER costs dropped from €403 [95% CI 177-628] to €43 [95% CI 6-78]. Diagnostic procedure costs decreased significantly, from €403 [95% CI 177-628] to €43 [95% CI 6-78]. Specialist visit costs remained unchanged. Rehabilitation costs increased from €371 [95% CI 194-547] to €635 [95% CI 318-915], but this rise was not statistically significant. Conclusions: Accurate diagnosis of FMDs significantly reduces healthcare costs by minimizing unnecessary tests, hospitalizations, and ER visits while emphasizing rehabilitation. This highlights the economic and clinical benefits of improved diagnostic accuracy and specific multidisciplinary intervention. Investing in cost-effective diagnostic tools is crucial for earlier diagnosis and reducing delays.

Note:

Michele Tinazzi and Marialuisa Gandolfi shared equal contribution. Stefano Landi and Chiara Leardini shared equal contribution.

Pagina Web:

https://doi.org/10.1007/s10072-024-07865-2

Id prodotto:

142719

Handle IRIS:

11562/1145626

ultima modifica:

22 gennaio 2025

Citazione bibliografica:

Tinazzi, Michele; Gandolfi, Marialuisa; Menaspà, Zoe; Sandri, Angela; Landi, Stefano; Leardini, Chiara, Reducing healthcare costs by timely diagnosis and management in functional motor disorders «NEUROLOGICAL SCIENCES» , vol. First published online: 13 November 2024 , 2024 , pp. 1-10

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