Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients.
Bull Menninger Clin
; 83(2): 105-127, 2019.
Article
em En
| MEDLINE
| ID: mdl-30840490
ABSTRACT
This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5-2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55-1.1). The average cost per patient was cut in half, down to 80,000/$96,000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Processos e Resultados em Cuidados de Saúde
/
Equipe de Assistência ao Paciente
/
Tratamento Domiciliar
/
Transtornos Somatoformes
/
Custos de Cuidados de Saúde
/
Dor Crônica
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Bull Menninger Clin
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Áustria