Table 1 Description and estimation of health care costs

− Direct and indirect medical costs

− General costs

− Opportunity costs (4%)

− Security and maintenance (9.7%)

− Depreciation costs for buildings (10%)

RAMQ and MED-ECHO medical database

Activity reports (AS-471) [51]

Rosenheck et al. [53] (opportunity costs)

Vasiliadis et al. [3] (security and maintenance)

Government of Canada, [54] (depreciation costs)

$399 per visit

Outpatient

Mental health visits - local community service center

$80 per visit +

$1417 per patient per year

Mental health visit - outpatient clinic

$80 per visit +

$792 per patient per year

General medical visits in outpatient settings – not mental health related

$130 per visit

Inpatient

Mental health inpatient stay

− Direct and indirect medical costs

− General costs

− Opportunity costs (6%)

− Security and maintenance (9.7%)

− Depreciation costs for buildings (10%)

$485 per diem + $644 per hospitalization

General inpatient stay

$593 per diem + $644 per hospitalization

Day surgeries

$1900 per surgery

− Physician fees billed to the RAMQ

RAMQ medical database

− Portion paid by the provincial public drug plan

RAMQ pharmaceutical database

− Costs paid by patients

ESA-Services questionnaire at baseline and follow-up

− Portion paid by patients

RAMQ pharmaceutical database

Loss of productivity

ED visit

− 18.4 h for an ED visit

Vasiliadis et al. [14]

Stephens and Joubert [63]

Le Commissaire de la Santé et du Bien-Être [61]

Demers, 2018 [62]

(Minimum wage: 10.15$ CAD)

$187 per visit

Outpatient visit

− 2 h for an outpatient visit

$20 per visit

Hospitalisation

− 8 h for a day of hospitalisation

$81 per day of hospitalisation