OBJECTIVES: Patient care burden to health professionals (HPs) and health care institutions for many disorders, including agitation in schizophrenia or bipolar I disorder, may not be fully captured through claims data and/or medical records. The study objective was to assess this burden, specifically for agitated patients with schizophrenia and bipolar I disorder who visit emergency departments or psychiatric emergency service units. METHODS: This study consists of one-on-one qualitative telephone interviews followed by a web-based survey. Interviews are conducted with 10 emergency setting-based HPs (physicians, nurses, aides, ED/hospital administrators, and social workers). Interviews follow a semi-structured guide with specific probes/prompts to capture the intangible impacts that drive indirect and direct costs of care. The guide includes general open-ended questions and specific questions on specific areas of impact, including physical, psychological, and emotional impacts on the HP, as well as impacts on job performance and satisfaction. The interview findings inform a web-based survey (administered to a similar mix of 200 treating HPs) which includes multiple choice questions, rating questions, ranking exercises, and open-ended questions. The survey collects data such as characteristics of HPs, burden of treating patients including use of restraints, isolation, boarding, length of stay, staff abuse and injury, and direct costs. RESULTS: The results from the on-going interviews and web survey of the indirect burden of treating these patients with agitation will be reported. CONCLUSIONS: This interview and survey methodology comprehensively assesses the full burden of treating agitation in schizophrenia or bipolar I disorder patients from the point of view of various HPs. This study will help bridge the gap on the indirect burden of treating patients with agitation, and can be used to complement direct burden of care data. This methodology can be applied to other disease areas to comprehensively assess the burden of patient treatment.
Margolis, M. K., Bapat, B., Blume, S., Cicero, S., & Gandhi, S. K. (2015). Assessing the full burden of care for agitation in patients with Schizophrenia and Bipolar I disorder. Value in Health, 18(3), A252. https://doi.org/10.1016/j.jval.2015.03.1469