tailieunhanh - Báo cáo y học: " Does monitoring need for care in patients diagnosed with severe mental illness impact on Psychiatric Service Use? Comparison of monitored patients with matched controls"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Does monitoring need for care in patients diagnosed with severe mental illness impact on Psychiatric Service Use? Comparison of monitored patients with matched controls | Drukker et al. BMC Psychiatry 2011 11 45 http 1471-244X 11 45 BMC Psychiatry RESEARCH ARTICLE Open Access Does monitoring need for care in patients diagnosed with severe mental illness impact on Psychiatric Service Use Comparison of monitored patients with matched controls 1 1 1 3 f ĩ 1 14 Marjan Drukker Jim van Os Miriam Dietvorst Sjoerd Sytema Ger Driessen Philippe Delespaul Abstract Background Effectiveness of services for patients diagnosed with severe mental illness SMI may improve when treatment plans are needs based. A regional Cumulative Needs for Care Monitor CNCM introduced diagnostic and evaluative tools allowing clinicians to explicitly assess patients needs and negotiate treatment with the patient. We hypothesized that this would change care consumption patterns. Methods Psychiatric Case Registers PCR register all in-patient and out-patient care in the region. We matched patients in the South-Limburg PCR where CNCM was in place with patients from the PCR in the North of the Netherlands NN where no CNCM was available. Matching was accomplished using propensity scoring including amongst others total care consumption and out-patient care consumption. Date of the CNCM assessment was copied to the matched controls as a hypothetical index date had the CNCM been in place in NN. The difference in care consumption after and before this date after minus before was analysed. Results Compared with the control region out-patient care consumption in the CNCM region was significantly higher after the CNCM index date regardless of treatment status at baseline new new episode persistent whereas a decrease in in-patient care consumption could not be shown. Conclusions Monitoring patients may result in different patterns of care by flexibly adjusting level of out-patient care in response to early signs of clinical deterioration. Background There is evidence that the use of person-based rehabilitation strategies improves outcomes in patients .