评估直接治疗费用与逐步接受家庭治疗的治疗费用
Antonia Kaehlitz1, Michel Ngoc-Minh Dang1, Jens Kronschnabel1
1Psychiatric Services Aargau, Academic Hospital of Zurich University, Windisch, Switzerland.
Frontiers in psychiatry
|September 24, 2025
概括
家庭治疗 (HT) 是住院精神病治疗的成本效益较高的替代方案,单独使用时可减少再入院. 然而,将HT与住院住院相结合,会增加成本和治疗时间.
科学领域:
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
背景情况:
- 在2015年,家庭治疗 (HT) 成为住院精神病医疗的经济有效替代方案.
- 研究评估了HT对医院病床使用率和治疗成本的影响.
- 本研究评估了HT在整合到常规护理后的长期影响.
研究的目的:
- 评估与住院精神病医疗相比,家庭治疗 (HT) 的长期有效性和成本效益.
- 分析直接入院HT与从住院护理过渡的影响.
- 确定将HT纳入心理健康服务的最佳模式.
主要方法:
- 2019-2020年间接受HT的患者的观察性研究,持续两年.
- 将累积成本,治疗持续时间和再入院率与匹配的住院患者对照组进行比较.
- 对直接HT入院与住院到HT过渡的子组分析;统计测试包括威尔科克森的签名等级和费舍尔的精确测试.
主要成果:
- 高血压患者住院日数较少,但整体治疗持续时间较长;成本相似.
- 直接入院HT导致24%的成本降低和较低的再入院率与住院护理相比.
- 结合住院和HT护理导致治疗持续时间和成本增加.
结论:
- 独立家庭治疗 (HT) 证明了成本效益和减少再入院,使其成为住院护理的可行替代方案.
- 将HT与住院治疗相结合,会增加治疗的持续时间和成本,降低经济效益.
- 未来的研究应该专注于确定受益于直接HT入院的患者群体,并优化混合模型的成本效益.
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