Abstract
Psychotic disorders create a burden on the government, family, and society because of decreasing patient productivity. The use of atypical-atypical and atypical-typical antipsychotic combinations is one of the most commonly used combinations for patients with psychotic disorders. The study was conducted to determine the average total cost and effectiveness of the therapy measured by the difference in PANSS-EC pre-post scores during intensive care. The study was conducted prospectively to analyse the total cost and effectiveness of the therapy using combinations of antipsychotics in psychotic disorders patients. The measured costs include the cost of nursing classes, laboratory, medical treatment, doctor's visit, and antipsychotic. The effectiveness is measured by the difference in PANSS-EC pre-post scores. As many as 32 treated patients with psychotic disorders met the inclusion criteria. The average cost of atypical-typical antipsychotic combination group (Rp1,184,043) was higher than atypical atypical antipsychotic combination group (Rp1,115,829). The effectiveness of the therapy was represented by the value of the difference between the PANSS-EC pre and post scores, which in this research yielded a mean of 7,125 for atypical-atypical antipsychotic combinations and 8,375 for atypical-typical antipsychotic combinations. In conclusion, there is a difference in the total average cost and effectiveness of the therapy. There is a difference between PANSS-EC pre and post scores during the time period from intensive room to quiet room in atypical-typical antipsychotic combinations compared with atypical-atypical antipsychotic combinations.
Highlights
Psychotic disorders are associated with impaired emotional, cognitive, and social functions which have the potential to cause long-term disability
Realizing that the treatment of psychotic disorders requires a large cost which can reduce the productivity of someone of productive age, researchers are interested in analyzing the cost of therapeutic choices between atypical-atypical antipsychotic combination and atypical-typical antipsychotic combination by looking at their PANSS-EC scores from the intensive room to the quiet room as the indication of therapy effectiveness
The number of patients who met the inclusion and exclusion criteria was 32 who were classified into two groups, namely atypical-atypical antipsychotic combination and atypical-typical antipsychotic combination
Summary
Psychotic disorders are associated with impaired emotional, cognitive, and social functions which have the potential to cause long-term disability. If the number of people suffering from psychotic disorders increases every year, the treatment or treatment offered is increasingly diverse, but this does not apply in Indonesia where sufferers of mental health disorders are still considered strange and sufferers should be ostracized (Putri, 2015). The problem of this psychotic disorder causes various kinds of burdens ranging from extraordinary financial burdens, psychological burdens (distress), to social stigma issues. Realizing that the treatment of psychotic disorders requires a large cost which can reduce the productivity of someone of productive age, researchers are interested in analyzing the cost of therapeutic choices between atypical-atypical antipsychotic combination and atypical-typical antipsychotic combination by looking at their PANSS-EC scores from the intensive room to the quiet room as the indication of therapy effectiveness
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