tailieunhanh - Báo cáo y học: " Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness (CEDAR): Study protocol"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness (CEDAR): Study protocol | Puschner et al. BMC Psychiatry 2010 10 90 http 1471-244X 10 90 BMC Psychiatry STUDY PROTOCOL Open Access Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness CEDAR Study protocol 1 12 2 3 3 Bernd Puschner Sabine Steffen Mike Slade Helena Kaliniecka Mario Maj Andrea Fiorillo Dr kV l I I ink- Ir Smoncon4 lone l 2r I 2rcon4 AniLA Ef iorFlá 7Ì5 7nll 3n Momoc5 A lie Dncclor6 A nlfr3m ICsMA r ih I6 Povl Munkj0igensen Jens Ivai Larsen Aiiiku geihdzi zonal I Nemes vvuli Russlei vvoliiam Kavvohl Thomas Becker1 Abstract Background A considerable amount of research has been conducted on clinical decision making CDM in shortterm physical conditions. However there is a lack of knowledge on CDM and its outcome in long-term illnesses especially in care for people with severe mental illness. Methods Design The study entitled Clinical decision making and outcome in routine care for people with severe mental illness CEDAR is carried out in six European countries Denmark Germany Hungary Italy Switzerland and UK . First CEDAR establishes a methodology to assess CDM in people with severe mental illness. Specific instruments are developed and psychometric properties established to measure CDM style key elements of CDM in routine care as well as CDM involvement and satisfaction from patient and therapist perspectives. Second these instruments are being put to use in a multi-national prospective observational study bimonthly assessments during a one-year observation period N 560 . This study investigates the immediate short- and long-term effect of CDM on crucial dimensions of clinical outcome symptom level quality of life needs by taking into account significant variables moderating the relationship between CDM and outcome. Discussion The results of this study will make possible to delineate quality indicators of CDM as well as to specify prime areas for further improvement. Ingredients of best practice in CDM in the routine .