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Titolo:
COST-EFFECTIVENESS OF DAY AND INPATIENT PSYCHIATRIC-TREATMENT - RESULTS OF A RANDOMIZED CONTROLLED TRIAL
Autore:
CREED F; MBAYA P; LANCASHIRE S; TOMENSON B; WILLIAMS B; HOLME S;
Indirizzi:
UNIV MANCHESTER,MANCHESTER ROYAL INFIRM,DEPT PSYCHIAT,RAWNSLEY BLDG MANCHESTER M13 9WL LANCS ENGLAND
Titolo Testata:
BMJ. British medical journal
fascicolo: 7091, volume: 314, anno: 1997,
pagine: 1381 - 1385
SICI:
0959-8138(1997)314:7091<1381:CODAIP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
SERIOUS MENTAL-ILLNESS; COMMUNITY CARE; HOSPITAL-CARE; PEOPLE; OUTPATIENT; DISORDERS; BENEFITS; SERVICE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
F. Creed et al., "COST-EFFECTIVENESS OF DAY AND INPATIENT PSYCHIATRIC-TREATMENT - RESULTS OF A RANDOMIZED CONTROLLED TRIAL", BMJ. British medical journal, 314(7091), 1997, pp. 1381-1385

Abstract

Objective: To compare direct and indirect costs of day and inpatient treatment of acute psychiatric illness. Design: Randomised controlled trial with outcome and costs assessed over 12 months after the date ofadmission. Setting: Teaching hospital in an inner city area. Subjects: 179 patients with acute psychiatric illness referred for admission who were suitable for random allocation to day hospital or inpatient treatment. 77 (43%) patients had schizophrenia. Interventions: Routine inpatient or day hospital treatment. Main outcome measures: Direct and indirect costs over 12 months; clinical symptoms, social functioning, and burden on relatives over the follow up period. Results: Clinical and social outcomes were similar at 12 months, except that inpatients improved significantly faster than day patients and burden on relativeswas significantly less in the day hospital group at one year. Median direct costs to the hospital were pound 1923 (95% confidence interval pound 750 to pound 3174) per patient less for day hospital treatment than inpatient treatment Indirect costs were greater for day patients; when these were included, overall day hospital treatment was pound 2165 cheaper than inpatient treatment (95% confidence interval of median difference pound 737 to pound 3593). Including costs to informants when appropriate meant that day hospital treatment was pound 1994 per patient cheaper (95% confidence interval pound 600 to pound 3543). Conclusions: Day patient treatment is cheaper for the 30-40% of potential admissions that can be treated in this way. Carers of day hospital patients may bear additional costs. Carers of all patients with acute psychiatric illness are often themselves severely distressed at the time ofadmission, but day hospital treatment leads to less burden on carers in the long term.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 01:00:23