Differential costs for the non-adult ADHD population in Catalonia

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• dc.contributor.author Mora, Toni
• dc.contributor.author Puig i Junoy, Jaume
• dc.contributor.author Jacobs, Rowena
• dc.contributor.author Cid, Jordi
• dc.date.accessioned 2023-07-03T06:05:54Z
• dc.date.available 2023-07-03T06:05:54Z
• dc.date.issued 2023
• dc.description.abstract Attention-Deficit/Hyperactivity Disorder (ADHD) is young children’s most common mental health disorder. We aim to provide causal estimates of the differential costs for the non-adult population with ADHD. We used longitudinal administrative data covering the non-adult population over five years and different healthcare providers (general practitioners, hospitalisations and emergency departments, visits to mental healthcare centres—day-care or hospitals) of 1,101,215 individuals in Catalonia (Spain). We also include the consumption of pharmaceuticals and cognitive therapies. We instrumented ADHD diagnosis by the probability of being diagnosed by the most visited healthcare provider based on individual monthly visits to the provider in which this visit was related to ADHD and the density of professionals in the different mental health providers. After using matching procedures to include a proper control group, we estimated two-part and finite mixture models. Our results indicate that ADHD children and adolescents displayed 610€ higher annual health direct costs compared to not diagnosed counterparts. We provide average costs disentangling the sample by age boundaries, gender, and comorbidities to offer values for cost-effective analyses and incremental costs after diagnosis, which is around 400€. A significant differential annual direct health cost for the non-adult population with ADHD is determined, which will be helpful for cost-effectiveness analysis and complete cost-of-illness studies.
• dc.description.sponsorship Toni Mora gratefully acknowledges the financial support from the ECO2017-83771-C3-3-R (MINECO/AEI/FEDER, UE) and its continuation PID2021-124067OB-C21.
• dc.format.mimetype application/pdf
• dc.identifier.citation Mora T, Puig‑Junoy J, Jacobs R, Cid J. Differential costs for the non-adult ADHD population in Catalonia. Health Econ Rev. 2023;13:24. DOI: 10.1186/s13561-023-00437-8
• dc.identifier.doi http://dx.doi.org/10.1186/s13561-023-00437-8
• dc.identifier.issn 2191-1991
• dc.identifier.uri http://hdl.handle.net/10230/57439
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof Health Economics Review. 2023;13:24.
• dc.relation.projectID info:eu-repo/grantAgreement/ES/2PE/ECO2017-83771-C3-3-R
• dc.relation.projectID info:eu-repo/grantAgreement/ES/3PE/PID2021-124067OB-C21
• dc.rights © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword ADHD
• dc.subject.keyword Non-adult population
• dc.subject.keyword Economic burden
• dc.subject.keyword Cost-of-illness
• dc.title Differential costs for the non-adult ADHD population in Catalonia
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion