Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
MULTISITE EXPERIMENTAL COST STUDY OF INTENSIVE PSYCHIATRIC COMMUNITY CARE
Autore:
ROSENHECK R; NEALE M; LEAF P; MILSTEIN R; FRISMAN L;
Indirizzi:
VET ADM NE PROGRAM EVALUAT CTR,VET ADM HLTH CARE HOMELESS VET PROGRAM,950 CAMPBELL AVE W HAVEN CT 06516 YALE UNIV NEW HAVEN CT 00000 JOHNS HOPKINS UNIV BALTIMORE MD 00000 VET ADM NE PROGRAM EVALUAT CTR,VET ADM HLTH CARE HOMELESS VET PROGRAMW HAVEN CT 06516
Titolo Testata:
Schizophrenia bulletin
fascicolo: 1, volume: 21, anno: 1995,
pagine: 129 - 140
SICI:
0586-7614(1995)21:1<129:MECSOI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HOSPITAL TREATMENT; CASE-MANAGEMENT; REHOSPITALIZATION; PROGRAM; IMPACT; MODEL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
R. Rosenheck et al., "MULTISITE EXPERIMENTAL COST STUDY OF INTENSIVE PSYCHIATRIC COMMUNITY CARE", Schizophrenia bulletin, 21(1), 1995, pp. 129-140

Abstract

A 2-year experimental cost study of 10 Intensive Psychiatric Community Care (IPCC) programs was conducted at Department of Veterans Affairs(VA) medical centers in the Northeast. High hospital users were randomly assigned to either IPCC (n = 454) or standard VA care (n = 419) atfour neuropsychiatric (NP) and six general medical and surgical (GMS)hospitals. National computerized data were used to track all VA health care service usage and costs for 2 years following program entry. At9 of the 10 sites, IPCC treatment resulted in reduced inpatient service usage. Overall, for IPCC patients compared with control patients, average inpatient usage was 89 days (33%) less while average cost per patient (for IPCC inpatient, and outpatient services) was $15,556 (20%)less. Additionally, costs for IPCC patients compared with control patients were $33,295 (29%) less at NP sites but were $6,273 (15%) greater at GMS sites. At both NP and GMS sites, costs were lower for IPCC patients in two subgroups: veterans over age 45 and veterans with high levels of inpatient service use before program entry. No interaction was noted between the impact of IPCC on costs and other clinical or sociodemographic characteristics. Similarly, no linear relationship was observed between the intensity of IPCC services and the impact of IPCC on VA costs, although the two sites that did not fully implement the IPCC program had the poorest results. With these sites excluded, the total cost of care for IPCC patients at GMS sites was $579 (3%) more per year than that for the control patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 10:52:49