Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics

Background People with functional disorders often receive high levels of healthcare resource use yet have poor outcomes. The health service costs and productivity losses of functional cognitive disorders (FCD) is unknown. Aims This study aims to report the cost to health services and productivit...

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Main Authors: Barbara Barrett, Joan Agwuna, Sarah Cope, Mark J. Edwards, Norman Poole
Format: Article
Language:English
Published: Cambridge University Press 2025-07-01
Series:BJPsych Open
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Online Access:https://www.cambridge.org/core/product/identifier/S2056472425107667/type/journal_article
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author Barbara Barrett
Joan Agwuna
Sarah Cope
Mark J. Edwards
Norman Poole
author_facet Barbara Barrett
Joan Agwuna
Sarah Cope
Mark J. Edwards
Norman Poole
author_sort Barbara Barrett
collection DOAJ
description Background People with functional disorders often receive high levels of healthcare resource use yet have poor outcomes. The health service costs and productivity losses of functional cognitive disorders (FCD) is unknown. Aims This study aims to report the cost to health services and productivity losses of FCD. Method Examination of healthcare service use and productivity losses in a sample of individuals with FCD who had attended a specialist out-patient clinic in south London. Results The findings revealed high rates of healthcare use, including frequent contact with general practitioners, psychologists and hospital services, as well as work absences. The total estimated cost of healthcare and productivity losses per individual over 6 months was £1114. Conclusions These results highlight the need for effective and efficient diagnostic pathways, targeted and effective interventions, and improved support for individuals with FCD.
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spelling doaj-art-7cf5beebdebb43d6927c9f1c699f91782025-08-20T03:50:39ZengCambridge University PressBJPsych Open2056-47242025-07-011110.1192/bjo.2025.10766Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinicsBarbara Barrett0https://orcid.org/0000-0002-0270-6256Joan Agwuna1Sarah Cope2Mark J. Edwards3Norman Poole4Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKSouth West London and St George’s Mental Health NHS Trust, London, UK South London and Maudsley NHS Foundation Trust, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK South London and Maudsley NHS Foundation Trust, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK South West London and St George’s Mental Health NHS Trust, London, UK South London and Maudsley NHS Foundation Trust, London, UK Background People with functional disorders often receive high levels of healthcare resource use yet have poor outcomes. The health service costs and productivity losses of functional cognitive disorders (FCD) is unknown. Aims This study aims to report the cost to health services and productivity losses of FCD. Method Examination of healthcare service use and productivity losses in a sample of individuals with FCD who had attended a specialist out-patient clinic in south London. Results The findings revealed high rates of healthcare use, including frequent contact with general practitioners, psychologists and hospital services, as well as work absences. The total estimated cost of healthcare and productivity losses per individual over 6 months was £1114. Conclusions These results highlight the need for effective and efficient diagnostic pathways, targeted and effective interventions, and improved support for individuals with FCD. https://www.cambridge.org/core/product/identifier/S2056472425107667/type/journal_articleFunctional cognitive disorderhealth economicscosts
spellingShingle Barbara Barrett
Joan Agwuna
Sarah Cope
Mark J. Edwards
Norman Poole
Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
BJPsych Open
Functional cognitive disorder
health economics
costs
title Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
title_full Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
title_fullStr Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
title_full_unstemmed Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
title_short Service use, healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out-patient cognitive, neurology and memory clinics
title_sort service use healthcare costs and productivity losses of functional cognitive disorder in a sample of attenders to out patient cognitive neurology and memory clinics
topic Functional cognitive disorder
health economics
costs
url https://www.cambridge.org/core/product/identifier/S2056472425107667/type/journal_article
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