The determinants and effect of shared care on patient outcomes and psychiatric admissions - an inner city primary care cohort study.
Soc Psychiatry Psychiatr Epidemiol
; 39(2): 154-63, 2004 Feb.
Article
em En
| MEDLINE
| ID: mdl-15052398
ABSTRACT
OBJECTIVE:
The aim of this study was to determine the factors associated with receipt of different levels of shared care, and the effect of shared care on patient outcomes.METHOD:
A total of 349 patients with severe mental illness were selected from general practice lists. Patient functioning was assessed using standardised questionnaires, and GPs completed a questionnaire about patients' shared care arrangements at baseline (response-rate 79%). Patients were followed up at 12 months.RESULTS:
Receipt of high shared care was associated with greater patient satisfaction with services and social functioning at baseline (p < 0.005). Patients receiving high shared care showed greater improvements in SF-12 mental health scores at follow-up compared to low shared care groups (p = 0.02). This effect was abolished after adjustment for age, sex and psychiatric diagnosis.CONCLUSION:
Receipt of high shared care was not associated with demographic or clinical characteristics. High shared care had limited value for patients in terms of improved clinical, social or general health functioning over one year.
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Coleções:
01-internacional
Temas:
Atencao_primaria_forma_integrada
Contexto em Saúde:
11_ODS3_cobertura_universal
/
5_ODS3_mortalidade_materna
Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Equipe de Assistência ao Paciente
/
Atenção Primária à Saúde
/
Resultado do Tratamento
/
Serviços Comunitários de Saúde Mental
/
Assistência Centrada no Paciente
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Soc Psychiatry Psychiatr Epidemiol
Ano de publicação:
2004
Tipo de documento:
Article