在心理治疗之前和期间,医疗保健使用和成本的变化模式
Refael Yonatan-Leus1,2, Maayan Abargil3, Shmuel Shulman1,4
1Department of Psychology, The College of Management Academic Studies, Rishon LeZion, Israel.
概括
在心理治疗之前,医疗费用会增加,而在心理治疗后,医疗费用会下降. 长期接受精神病治疗的患者在等待期间显示成本上升,表明痛苦和需要及时干预以获得更好的结果.
科学领域:
- 卫生经济学 卫生经济学
- 心理治疗研究 心理治疗研究
- 医疗保健管理的管理
背景情况:
- 在心理治疗开始之前,医疗费用往往会上升,然后下降.
- 关于医疗保健成本变化的具体模式的研究有限.
- 了解这些模式对于医疗保健资源分配和患者护理至关重要.
研究的目的:
- 分析门诊心理治疗前和期间的季度医疗费用模式.
- 为了比较经过长期精神病治疗的患者和其他患者之间的成本变化模式.
- 确定经济影响和潜在的危险标志物.
主要方法:
- 一项涉及1508名接受门诊心理治疗的患者的实地研究.
- 分析治疗前和治疗期间的季度医疗保健费用.
- 应用各种模型来评估总样本和子组的变化模式.
主要成果:
- 在长期药物治疗组的治疗期间观察到对数模式 (降低成本);其他人显示线性模式.
- 一个指数式的模式 (不断增加的成本) 标志着长期精神治疗组的等待期.
- 长期精神治疗组表现出明显的成本模式,这表明等待期间的痛苦增加.
结论:
- 缩短长期精神病治疗的等待时间可以最大限度地提高投资回报率.
- 在长期精神治疗组中观察到的成本模式可能表明痛苦,并强调启动心理治疗的快速影响.
- 这个子集团的证券由于其独特的成本轨迹和潜在的危险级别而引起了人们的注意.
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