{"id":6534,"date":"2016-11-03T00:00:00","date_gmt":"2016-11-03T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/cost-evaluation-of-out-of-country-care-for-patients-with-eating-disorders-in-ontario-a-population-based-study\/"},"modified":"2023-06-14T19:19:02","modified_gmt":"2023-06-14T23:19:02","slug":"cost-evaluation-of-out-of-country-care-for-patients-with-eating-disorders-in-ontario-a-population-based-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/cost-evaluation-of-out-of-country-care-for-patients-with-eating-disorders-in-ontario-a-population-based-study\/","title":{"rendered":"Cost evaluation of out-of-country care for patients with eating disorders in Ontario: a population-based study"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; Eating disorders, specifically anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified, represent a substantial burden to the healthcare system. Our goal was to estimate the economic burden of patients who received specialized inpatient care for an eating disorder out of country. <\/p>\n<p><strong>Method <\/strong>&#x2014; We conducted a cost-of-illness study evaluating healthcare costs among patients in Ontario who received specialized inpatient care for an eating disorder out of country from 2003 to 2011, from the public third-party payer perspective. Using linked administrative databases, we estimated net costs of eating disorders for 2 patient groups: those who received specialized inpatient care both out of country and in province (n = 160), and those who received specialized inpatient care out of country only (n = 126). <\/p>\n<p><strong>Results <\/strong>&#x2014; Patients approved for specialized out-of-country inpatient care were mostly girls and young women from high-income, urban neighbourhoods. Total net costs varied annually and were higher for patients treated both out of country and in province (about &#x24;11&#x202f;million before 2007, &#x24;6.5&#x202f;million after) than for those treated out of country alone (about &#x24;5&#x202f;million and &#x24;2&#x202f;million, respectively). The main cost drivers were out-of-country care and physician services. <\/p>\n<p><strong>Interpretation <\/strong>&#x2014; Costs associated with eating disorder care represent a substantial economic burden to the Ontario healthcare system. Given the high costs of out-of-country care, there may be opportunity to redirect these funds to increase capacity and expertise for eating disorder treatment within Ontario.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Eating disorders, specifically anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified, represent a substantial burden to the healthcare system. Our goal was to estimate the economic burden of patients who received specialized inpatient care for an eating disorder out of country. Method &#x2014; We conducted a cost-of-illness study evaluating healthcare costs [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[61,34],"migration-helper-qa-sample-set":[],"class_list":["post-6534","journal_article","type-journal_article","status-publish","hentry","topic-health-economics","topic-mental-health-and-addictions"],"acf":{"citation":"de Oliveira C, Macdonald EM, Green D, Colton P, Olmsted M, Bondy S, Kurdyak P. <em>CMAJ Open<\/em>. 2016; 4(4):E661-7. Epub 2016 Nov 3.","source_url":"http:\/\/cmajopen.ca\/content\/4\/4\/E661.full","ices_scientist":[1210,1179,1152],"site":[6735,6733],"research_program":[6744],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"EEDB6F41-D081-4F37-83C6-023EF2D436EA","sitecore_item_name":"Cost-evaluation-of-out-of-country-care-for-patients-with-eating-disorders-in-Ontario","sitecore_field_values":"{\n  \"Title\": \"Cost evaluation of out-of-country care for patients with eating disorders in Ontario: a population-based study\",\n  \"Short title\": \"Cost evaluation of out-of-country\",\n  \"Summary\": \"This study estimates the economic burden of patients who received specialized inpatient care for an eating disorder out of country. \",\n  \"Citation\": \"<p>de Oliveira C, Macdonald EM, Green D, Colton P, Olmsted M, Bondy S, Kurdyak P. <em>CMAJ Open<\/em>. 2016; 4(4):E661-7. Epub 2016 Nov 3.<\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; Eating disorders, specifically anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified, represent a substantial burden to the healthcare system. Our goal was to estimate the economic burden of patients who received specialized inpatient care for an eating disorder out of country. <\/p>rn<p><strong>Method <\/strong>&mdash; We conducted a cost-of-illness study evaluating healthcare costs among patients in Ontario who received specialized inpatient care for an eating disorder out of country from 2003 to 2011, from the public third-party payer perspective. Using linked administrative databases, we estimated net costs of eating disorders for 2 patient groups: those who received specialized inpatient care both out of country and in province (n = 160), and those who received specialized inpatient care out of country only (n = 126). <\/p>rn<p><strong>Results <\/strong>&mdash; Patients approved for specialized out-of-country inpatient care were mostly girls and young women from high-income, urban neighbourhoods. Total net costs varied annually and were higher for patients treated both out of country and in province (about $11\u202fmillion before 2007, $6.5\u202fmillion after) than for those treated out of country alone (about $5\u202fmillion and $2\u202fmillion, respectively). The main cost drivers were out-of-country care and physician services. <\/p>rn<p><strong>Interpretation <\/strong>&mdash; Costs associated with eating disorder care represent a substantial economic burden to the Ontario healthcare system. Given the high costs of out-of-country care, there may be opportunity to redirect these funds to increase capacity and expertise for eating disorder treatment within Ontario.<\/p>rn<p><a href=\"http:\/\/cmajopen.ca\/content\/4\/4\/E661.full\" title=\"Opens to HTML full text in a new window\" target=\"_blank\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{EF3D32E7-A54B-435F-8453-5A16F63E2BB8}|{1DDD5102-2676-48C9-9DEA-6FB648E397A5}|{5B386094-8417-4B93-9D08-2F46BC0458AB}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}|{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{B0AEBBAD-2A5A-4165-BA3C-471B5BF30EA1}|{13D37538-C133-4F27-B8FC-0BBCA8EEF8EF}|{B5C574DB-2952-4976-9299-A6F54F1757FA}\",\n  \"Posted Date\": \"20161103T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2016\/January\/Cost-evaluation-of-out-of-country-care-for-patients-with-eating-disorders-in-Ontario"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Cost evaluation of out-of-country care for patients with eating disorders in Ontario: a population-based study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; 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