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Cost and carbon burden of long-acting injections : economic evaluation

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Maughan, Daniel L., Lillywhite, Robert and Cooke, Matthew (2015) Cost and carbon burden of long-acting injections : economic evaluation. BJ Psych Bulletin , 39 (4). doi:10.1192/pb.bp.114.049080

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Official URL: http://dx.doi.org/10.1192/pb.bp.114.049080

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Abstract

Aims and method This study explores the economic cost and carbon footprint associated with current patterns of prescribing long-term flupentixol decanoate longacting injections. We conducted an analysis of prescription data from a mental health trust followed by economic and carbon cost projections using local and national data.
Results A reduction of £300 000 could be achieved across England by improving prescribing behaviour, which equates to £250 per patient per year and 170 000 kg CO2e. These savings are unlikely to be released as cash from the service, but will lead to higher-value service provision at the same or lower cost. Most of this carbon emission is attributable to the carbon footprint of the appointment-88 000 kg CO2e
(including energy use and materials used) and the overprescribing of medication - 66 000 kg CO2e.
Clinical implications Psychiatrists need to review their prescribing practice of longacting injections to reduce their impact on the National Health Service financial budget and the environment

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
T Technology > TD Environmental technology. Sanitary engineering
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Science > Life Sciences (2010- )
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Mental health services -- Environmental aspects , Environmental impact analysis, Carbon dioxide , Schizophrenia -- Treatment -- Cost effectiveness, Injections -- Cost control
Journal or Publication Title: BJ Psych Bulletin
Publisher: Royal College of Psychiatrists
ISSN: 2056 - 4694
Official Date: 28 August 2015
Dates:
DateEvent
28 August 2015Published
2015Accepted
Volume: 39
Number: 4
Number of Pages: 5
DOI: 10.1192/pb.bp.114.049080
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
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