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International Systematic Review on High Utilizers Diagnosed with Severe Mental Illness

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Objective: No international review has been published on the economic burden of high utilizers (HUs) diagnosed with severe mental illness (SMI). In this review, we aimed to identify healthcare costs and service use of HUs diagnosed with SMI on a global basis. Methods: Three separate searches yielded peer-reviewed sources (N = 3051). We used a quality index to determine the rigor of research methods in selected studies. Results: We reduced sources based on inclusion criteria and removal of duplicates (N = 19). Conclusions: Current research fails to quantify global healthcare costs associated with HUs diagnosed with SMI. The most frequent services sought by HUs diagnosed with SMI were for chronic mental health conditions. The most prevalent and costly diagnosis was schizophrenia.
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Keywords: GLOBAL/INTERNATIONAL HEALTH; HEALTHCARE; HIGH UTILIZERS; SEVERE MENTAL ILLNESS; SYSTEMATIC REVIEW

Document Type: Research Article

Publication date: January 1, 2019

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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