关于减少侵略性的干预措施和住院心理健康的限制性干预措施的经济数据:系统性审查
Mimosa Luigi1,2, Arianne Imbeault3,4, Anne G Crocker3,5
1Department of Psychiatry, McGill University, 1033 Pine Ave W, Montreal, H3A 1A1, QC, Canada. mimosa.luigi@mail.mcgill.ca.
International journal of mental health systems
|December 13, 2025
概括
在精神病学环境中减少侵略性的干预措施的经济评估是有限的. 限制性干预是昂贵的,很少有非药物策略可以证明侵略管理的成本效益.
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
- 心理健康服务研究 心理健康服务研究
背景情况:
- 经济评估对于在精神病学环境中实施干预措施至关重要.
- 侵略性和限制性干预 (例如隔离,束) 是住院心理健康护理中的重要问题.
- 了解非药物干预措施的成本效益对于政策和实践至关重要.
研究的目的:
- 系统地审查和评估旨在减少攻击性和限制性干预措施的现有经济评估,在成人精神病医院住院患者的设置.
- 评估侵略管理的非药物干预措施的成本效益和成本效益.
主要方法:
- 在八个数据库和谷歌学者中系统搜索2000年至2025年的文学作品.
- 包括在精神病住院机构对非老年成人进行的定量研究,评估非药物干预措施.
- 应用各种经济评估方法 (成本,成本分析,成本效益,成本效益),并使用CHEERS检查清单进行叙事综合和质量评估.
主要成果:
- 选择了20项研究,主要来自急性精神病房.
- 十一项研究报告了干预成本,突出了与限制性干预,感官调节和人员培训相关的费用.
- 十二项研究报告了节约,其中八项进行了成本分析;只有两个干预措施显示了临床益处和净节约.
结论:
- 目前的证据基础对许多侵略管理干预措施的成本效益提供了有限的见解.
- 限制性干预措施被证实是昂贵的.
- 未来的研究需要强大的成本效益分析和长期临床益处的证明,以指导干预选择.
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