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Titolo:
EFFECTS OF PSYCHIATRIC-CONSULTATION ON MEDICAL CONSUMPTION IN MEDICALOUTPATIENTS WITH LOW-BACK-PAIN
Autore:
KOOPMANS GT; MEEUWESEN L; HUYSE FJ; HEIMANS JJ;
Indirizzi:
ERASMUS UNIV ROTTERDAM,DEPT HLTH CARE POLICY & MANAGEMENT,POB 1738 3000 DR ROTTERDAM NETHERLANDS FREE UNIV AMSTERDAM HOSP,RES CTR PRIMARY SECONDARY HLTH CARE AMSTERDAM NETHERLANDS FREE UNIV AMSTERDAM HOSP,DEPT CONSULTAT LIAISON,PSYCHIAT SERV AMSTERDAM NETHERLANDS FREE UNIV AMSTERDAM HOSP,DEPT NEUROL AMSTERDAM NETHERLANDS
Titolo Testata:
General hospital psychiatry
fascicolo: 3, volume: 18, anno: 1996,
pagine: 145 - 154
SICI:
0163-8343(1996)18:3<145:EOPOMC>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
IRRITABLE-BOWEL-SYNDROME; LIAISON PSYCHIATRY; CARE; EPIDEMIOLOGY; SPINE; MMPI;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
41
Recensione:
Indirizzi per estratti:
Citazione:
G.T. Koopmans et al., "EFFECTS OF PSYCHIATRIC-CONSULTATION ON MEDICAL CONSUMPTION IN MEDICALOUTPATIENTS WITH LOW-BACK-PAIN", General hospital psychiatry, 18(3), 1996, pp. 145-154

Abstract

A randomized, controlled, clinical trial (N = 104) was conducted to test the hypothesis that a protocol of collaboration and communication between neurologist and general practitioner, sustained with psychiatric consultation, would reduce medical consumption (especially of diagnostic procedures and medication) in medical outpatients with low back pain. The intervention was designed at the health cave provider level;the psychiatrist did not see or examine the patient. A reduction in medical consumption could not be demonstrated. As there was a great variation in adherence to the protocol in the experimental group, this might explain the lack of hypothesized effects. Full implementation of the protocol seemed to imply a lower number of major surgery operations, but this effect disappeared after excluding cases with a diagnosed hernia. The possibilities for consumption reduction for three post hoc-defined patient categories (cases with hernia and chronic and nonchronic cases) and the consequences for patient selection and treatment intensity are discussed. It is concluded that the target groups should bemove narrowly defined, and that a move intensive intervention might prove to be move effective.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 12:28:40