Amaç: Psikiyatrik hastal?klar s?k görülmeleri, tekrarlamalar? ve kronikle?ebilmeleri nedeniyle yeti yitimine yolaçabilirler. Bu yüzden maliyetleri yüksektir. Bu çal??mada,Gazi Üniversitesi Hastanesi Psikiyatri Servisi'ne 2015 y?l?nda yat?r?lan hastalar?n sosyal güvenlik kurumuna faturaedilen yat?? maliyetlerinin de?erlendirilmesi amaçlanm??t?r. Yöntem: ?statistiksel analiz için SPSS 21,0 kullan?lm??, tan?mlay?c? veriler s?kl?k, yüzde, ortalama±standart sapma olarak sunulmu?, kategorik de?i?kenlerinde?erlendirmesinde Pearson ki-kare, normal da??lmayanba??ms?z gruplarda Mann-Whitney U ve Kruskal WallisTestleri kullan?lm??t?r. Bulgular: Çal??mada 389 hasta yeralmaktad?r. Hastalarda en s?k ?izofreni (%38,8), depresyon (%26,1) ve bipolar bozukluk (%16,0) görülmü?tür.Erkeklerde ?izofreni (%47,6), kad?nlarda depresyon(%31,8) ilk s?radad?r. Hasta ba??na ortalama günlükmaliyet 120,4 TL (44,7 USD), yat?? maliyeti 3181,0 TL(1182,6 USD)'dir. Erkeklerin yat?? maliyeti 2922,0 TL,kad?nlar?nki 3495,3 TL'dir (p=0,005). Yat?? maliyeti enyüksek 3757,6 TL (1397,0 USD) ile bipolar bozukluk, endü?ük 1864,7 TL (693,2 USD) ile alkol ve madde kullan?mbozukluklar?d?r (p=0,024). ?izofreniye göre; depresyonbozukluklar? 2,56 kat, bedensel belirti bozukluklar? ise6,25 kat yat?? maliyetini azaltmaktad?r. Günlük maliyetien yüksek 130,7 TL (48,5 USD) ile nörobili?sel bozukluklar, en dü?ük 107,5 TL (39,9 USD) ile beslenme ve yemebozukluklar?d?r. Sonuç: Paket ücret uygulamas?, hesaplama kolayl??? sa?lasa da hangi kalemlerin ne kadar giderolu?turdu?unu hesaplamay? güçle?tirmektedir. Her hastaayn? de?ildir ve ayn? giderlere sahip olmalar? beklenemez
Objectives: Psychiatric illnesses could cause disabilitydue to their commonly occuring, tendency to recur andchronic character. Thence, psychiatric patients' treatmentcosts are high. In this study we aimed to evaluate treatment costs invoiced to the social security institution forpatients who were hospitalized into Gazi UniversityHospital Psychiatric Ward in 2015. Method: Quantitativedata analysis was executed using software program SPSS21.0 descriptive values were given such as frequency,percent, mean±standard deviation. A Pearson Chisquare Test was used for cathegorical variables, a MannWhitney U Test and a Kruskal Wallis Test was used inindependent groups lacking normal distribution.Results: There are 389 patients in the study.Schizophrenia (%38.8) was the mostly encountered disease in the patient group, followed by depression(%26.1) and bipolar disorder (%16). Among malepatients schizophrenia (%47.6) patients was the mostwhile depression (%31.8) patients was the most amongfemale patients. Average cost per inpatient day was120.4 TL (44.7 USD), average cost of hospitalization was3181.0 TL (1182.6 USD). Average cost of hospitalizationfor men was 2922.0 TL, for women was 3495.3 TL(p=0.005). Bipolar disorder hospitalization cost was thehighest costing 3757.6 TL (1397,0 USD), alcohol anddrug use disorder hospitalization cost was the least costing 1864.7 TL (693.2 USD) (p=0.024). Depression disorders reduce 2.56 times, somatoform disorders 6.25times reduces the cost of hospitalization than schizophrenia. Average cost per inpatient day in neurocognitive disorders costing 130.7 TL (48.5 USD) was thehighest and in eating disorders was the least, costing107.5 TL (39.9 USD). Conclusion: Payment packageapplications, as though they provide an ease of calculation, make it harder to discriminate which facility costsfor how much. Not every patient is same thus none oftheir treatment costs could expected to be the same.
