Cost consequences of home-based and in-patient-based acute psychiatric treatment: results of an implementation study.
Home treatment for acute mental illness is known to have advantages for some service users over hospital-based approaches. Generalisation from short term research studies to sustainable services in ordinary settings has been difficult. A service level and individual matched pairs (n =58 x 2) study i...
| Publicado en: | Journal of Mental Health Vol. 10; no. 4; pp. 467 - 477 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106937155&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106937155 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638237 JHM jtl: Journal of Mental Health issn: 09638237 maglogo: N pubinfo: dt: Aug2001 vid: 10 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106937155 2002072213 10.1080/09638230120041236 106937155 ppf: 467 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Cost consequences of home-based and in-patient-based acute psychiatric treatment: results of an implementation study. aug: au: Ford R Minghella E Chalmers C Hoult J Raftery J Muijen M affil: Sainsbury Centre for Mental Health, 134-138 Borough High Street, London SE1 1LB: r.ford@scmh.org.uk sug: subj: Psychiatric Care Methods Health Care Costs Mental Disorders Therapy Mental Health Services Economics Hospitalization Economics Home Health Care Economics Inpatients Outpatients Health Services Research Comparative Studies Community Mental Health Services Economics Psychological Tests Patient Satisfaction Chi Square Test Analysis of Covariance T-Tests Adolescence Adult Middle Age Descriptive Statistics P-Value Costs and Cost Analysis Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years ab: Home treatment for acute mental illness is known to have advantages for some service users over hospital-based approaches. Generalisation from short term research studies to sustainable services in ordinary settings has been difficult. A service level and individual matched pairs (n =58 x 2) study in North Birmingham indicated that home treatment can be developed with neutral cost-consequences. During the 6-week and 6-month follow-up periods users from the implementation team area had higher use of community-based care and lower use of hospital-based care compared to matched users from the control area. The combination of adding a home treatment team and halving the number of inpatient beds was, when compared to a control area, associated with (a) additional numbers of people receiving acute care (b) a lower cost per individual and (c) no difference in overall service cost. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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