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The Brazilian policy of withholding treatment for ADHD is probably increasing health and social costs

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The Brazilian policy of withholding treatment for ADHD is probably increasing health and social costs

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Título The Brazilian policy of withholding treatment for ADHD is probably increasing health and social costs
Autor Maia, Carlos Renato Moreira
Stella, Steffan Frosi
Mattos, Paulo
Cruz, Luciane Nascimento
Polanczyk, Guilherme Vanoni
Rohde, Luis Augusto Paim
Polanczyk, Carisi Anne
Abstract Objective: To estimate the economic consequences of the current Brazilian government policy for attention-deficit/hyperactivity disorder (ADHD) treatment and how much the country would save if treatment with immediate-release methylphenidate (MPH-IR), as suggested by the World Health Organization (WHO), was offered to patients with ADHD. Method: Based on conservative previous analyses, we assumed that 257,662 patients aged 5 to 19 years are not receiving ADHD treatment in Brazil. We estimated the direct costs and savings of treating and not treating ADHD on the basis of the following data: a) spending on ADHD patients directly attributable to grade retention and emergency department visits; and b) savings due to impact of ADHD treatment on these outcomes. Results: Considering outcomes for which data on the impact of MPH-IR treatment are available, Brazil is probably wasting approximately R$ 1.841 billion/year on the direct consequences of not treating ADHD in this age range alone. On the other hand, treating ADHD in accordance with WHO recommendations would save approximately R$ 1.163 billion/year. Conclusions: By increasing investments on MPH-IR treatment for ADHD to around R$ 377 million/ year, the country would save approximately 3.1 times more than is currently spent on the consequences of not treating ADHD in patients aged 5 to 19 years.
Contido em Revista brasileira de psiquiatria (1999). São Paulo. Vol. 37, n. 1 (jan./mar. 2015), p. 67–70
Assunto Análise custo-eficiência
Transtorno do déficit de atenção com hiperatividade
[en] Attention-deficit/hyperactivity disorder
[en] Central nervous system stimulants
[en] Child psychiatry
[en] Costs and cost analysis
[en] Social and political issues
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/147593
Arquivos Descrição Formato
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