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Titolo:
The economics of employing a counsellor in general practice: analysis of data from a randomised controlled trial
Autore:
Friedli, K; King, MB; Lloyd, M;
Indirizzi:
Royal Free & Univ Coll Med Sch, Dept Psychiat & Behav Sci, London NW3 2PF,England Royal Free & Univ Coll Med Sch London England NW3 2PF on NW3 2PF,England Royal Free & Univ Coll Med Sch, Dept Primary Care & Populat Sci, London NW3 2PF, England Royal Free & Univ Coll Med Sch London England NW3 2PF n NW3 2PF, England
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 453, volume: 50, anno: 2000,
pagine: 276 - 283
SICI:
0960-1643(200004)50:453<276:TEOEAC>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE; COST;
Keywords:
counselling; general practitioners; randomised controlled trial; emotional problems;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: King, MB Royal Free & Univ Coll Med Sch, Dept Psychiat & Behav Sci, Royal Free Campus,Rowland Hill St, London NW3 2PF, England Royal Free & Univ CollMed Sch Royal Free Campus,Rowland Hill St London England NW3 2PF
Citazione:
K. Friedli et al., "The economics of employing a counsellor in general practice: analysis of data from a randomised controlled trial", BR J GEN PR, 50(453), 2000, pp. 276-283

Abstract

Background. Counselling is currently adopted in many general practices, despite limited evidence of clinical and cost effectiveness. Aim. To compare direct and indirect costs of counsellors and general practitioners (GPs) in providing care to people with emotional problems. Method. We carried out a prospective, randomized controlled trial of non-directive counselling and routine general practice care in 14 general practices in north London. Counsellors adhered to a Rogerian model of counselling. The counselling sessions ranged from one to 12 sessions over 12 weeks. Asreported elsewhere, there were no differences in clinical outcomes betweenthe two groups. Therefore, we conducted a cost minimisation analysis. We present only the economic outcomes in this paper. Main outcome measures werecost data (service utilisation, travel, and work absence) at baseline, three months, and nine months. Results. One hundred and thirty-six patients with emotional problems, mainly depression, took part. Seventy patients were randomised to the counsellors and 66 to the GPs. The average direct and indirect costs for the counsellor was pound 162.09 more per patient after three months compared with costs for the GP group; however, over the following six months the counsellor group was pound 87.00 less per patient than the GP group. Over the total nine-month period, the counsellor group remained more expensive per patient. Conclusions. Referral to counselling is no more clinically effective or expensive than GP care over a nine-month period in terms of direct plus indirect costs. However, further research is needed to establish indirect costs of introducing a counsellor into general practice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 03:56:28