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Titolo:
"INTERMED": A method to assess health service needs - I. Development and reliability
Autore:
Huyse, FJ; Lyons, JS; Stiefel, FC; Slaets, JPJ; de Jonge, P; Fink, P; Gans, ROB; Guex, P; Herzog, T; Lobo, A; Smith, GC; van Schijndel, RS;
Indirizzi:
Vrije Univ Amsterdam, Ziekenhuis, Psychait Consultatieve Dienst, NL-1007 MB Vrije Univ Amsterdam Amsterdam Netherlands NL-1007 MB Dienst, NL-1007 MB Northwestern Univ, Mem Hosp, Dept Psychiat, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 pt Psychiat, Chicago, IL 60611 USA CHU Vaudois, Dept Psychosocial Med, CH-1011 Lausanne, Switzerland CHU Vaudois Lausanne Switzerland CH-1011 , CH-1011 Lausanne, Switzerland Ziekenhuis Leyenburg, Dept Geriatr Med, NL-2545 CH Den Haag, Netherlands Ziekenhuis Leyenburg Den Haag Netherlands NL-2545 CH n Haag, Netherlands Aarhus Univ Hosp, Hosp Psychiat, DK-8240 Risskov, Denmark Aarhus Univ Hosp Risskov Denmark DK-8240 chiat, DK-8240 Risskov, Denmark VrijeNetherlandsrdam, Ziekenhuis, Dept Internal Med, NL-1007 MB Amsterdam,Vrije Univ Amsterdam Amsterdam Netherlands NL-1007 MB 1007 MB Amsterdam, Univrg,eiburg Klinikum, Abt Psychotherapie & Psychosomat Med, D-7800 Freibu Univ Freiburg Klinikum Freiburg Germany D-7800 osomat Med, D-7800 Freibu Univ Hosp, Psychosomat Serv, E-50009 Zaragoza, Spain Univ Hosp Zaragoza Spain E-50009 ychosomat Serv, E-50009 Zaragoza, Spain Monash Med Ctr, Dept Psychol Med, Clayton, Vic 3168, Australia Monash Med Ctr Clayton Vic Australia 3168 d, Clayton, Vic 3168, Australia
Titolo Testata:
GENERAL HOSPITAL PSYCHIATRY
fascicolo: 1, volume: 21, anno: 1999,
pagine: 39 - 48
SICI:
0163-8343(199901/02)21:1<39:"AMTAH>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONSULTATION-LIAISON PSYCHIATRY; PSYCHOLOGICAL-PROBLEMS; JOHNS-HOPKINS; FOLLOW-UP; CARE; INTERVENTIONS; DISORDER; SYMPTOMS; OUTCOMES; ILLNESS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Huyse, FJ De Boelelaan 1117,POB 7057, NL-1007 MB Amsterdam, Netherlands De Boelelaan 1117,POB 7057 Amsterdam Netherlands NL-1007 MB ds
Citazione:
F.J. Huyse et al., ""INTERMED": A method to assess health service needs - I. Development and reliability", GEN HOSP PS, 21(1), 1999, pp. 39-48

Abstract

The purpose of this paper is to describe the development and to test the reliability of a new method called INTERMED, for health service needs assessment. The INTERMED integrates the biopsychosocial aspects of disease and the relationship between patient and health care system in a comprehensive scheme and reflects an operationalized conceptual approach to case mix or case complexity. The method is developed to enhance interdisciplinary communication between (para-) medical specialists and to provide a method to describe case complexity for clinical, scientific, and educational pur poses. First, a feasibility study (N = 21 patients) tons conducted which included double scoring and discussion of the results. This led to a version of the instrument on which two interrater reliability studies were performed. In study 1, the INTERMED was double scored for 14 patients admitted to an internalward by a psychiatrist and an internist on the basis of a joint interview conducted by both. In study 2, on the basis of medical charts, two clinicians separately double scored the INTERMED in 16 patients referred to the outpatient psychiatric consultation service. Aver aged over both studies, in 94.2% of all ratings there was no important difference between the raters (more than 1 point difference). As a research interview, it takes about 20 minutes; as part of the whole process of history taking it takes about 15 minutes. In both studies, improvements were suggested by the results. Analysesof study I revealed that on most items there was considerable agreement; some items were improved. Also, the reference point for the prognoses was changed so that it reflected both short- and long-term prognoses. Analyses ofstudy 2 showed that in this setting, less agreement between the raters wasobtained due to the fact that the raters were less experienced and the scoring procedure was move susceptible to differences. Some improvements-mainly of the anchor points-were specified which may further enhance interrater reliability The INTERMED proves to be it reliable method for classifying patients' care needs, especially when used by experienced raters scoring by patient interview. It can be a useful tool in assessing patients' cave needs, as well as the level of needed adjustment between general and mental health service delivery. The INTERMED is easily applicable in the clinical setting at low lime-costs. (C) 1999 Elsevier Science Inc.

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Documento generato il 09/07/20 alle ore 14:09:33