Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial.

Autor:	Weinmann S; Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Hospital an der Lindenhöhe, Offenburg, Germany.; University Psychiatric Hospital Basel, University of Basel, Basel, Switzerland., Nikolaidis K; Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Am Urban und Vivantes Hospital im Friedrichshain, Charité University Medicine Berlin, Berlin, Germany.; Department for Psychiatry and Psychotherapy, Charité University Medicine Berlin, Berlin, Germany., Längle G; Centre for Psychiatry Suedwuerttemberg, Zwiefalten, Germany.; Gemeinnützige GmbH für Psychiatrie Reutlingen (PP.rt), Academic Hospital of Tuebingen University, Reutlingen, Germany., von Peter S; Department of Psychiatry and Psychotherapy, Brandenburg Medical School Theodor Fontane, Immanuel Hospital Rüdersdorf, Rüdersdorf, Germany., Brieger P; kbo-Isar-Amper-Klinikum, Region München, Munich, Germany., Timm J; Competence Center for Clinical Trials Bremen, University of Bremen, Bremen, Germany., Fischer L; Competence Center for Clinical Trials Bremen, University of Bremen, Bremen, Germany., Raschmann S; Centre for Psychiatry Suedwuerttemberg, Zwiefalten, Germany., Holzke M; Centre for Psychiatry Suedwuerttemberg, Ravensburg, Germany.; Department of Psychiatry and Psychotherapy I, Ulm University, Ravensburg, Germany., Schwarz J; Department of Psychiatry and Psychotherapy, Brandenburg Medical School Theodor Fontane, Immanuel Hospital Rüdersdorf, Rüdersdorf, Germany., Klocke L; kbo-Isar-Amper-Klinikum, Region München, Munich, Germany., Rout S; Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Neukölln, Berlin, Germany., Hirschmeier C; Department for Psychiatry and Psychotherapy, Charité University Medicine Berlin, Berlin, Germany., Herwig U; Center for Psychiatry Reichenau, Reichenau, Germany., Richter J; Department of Psychiatry and Psychotherapy, University Hospital Tuebingen, Tübingen, Germany., Kilian R; Department of Psychiatry and Psychotherapy II, BKH Günzburg, Ulm University, GünzburgGermany., Baumgardt J; Research Institute of the Local Health Care Funds (WIdO), Berlin, Germany., Hamann J; Bezirksklinikum Mainkofen, Deggendorf, Germany., Bechdolf A; Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Am Urban und Vivantes Hospital im Friedrichshain, Charité University Medicine Berlin, Berlin, Germany.; Department for Psychiatry and Psychotherapy, Charité University Medicine Berlin, Berlin, Germany.
Jazyk:	angličtina
Zdroj:	European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2023 Sep 08; Vol. 66 (1), pp. e71. Date of Electronic Publication: 2023 Sep 08.
DOI:	10.1192/j.eurpsy.2023.2443
Abstrakt:	Background: Inpatient equivalent home treatment (IEHT), implemented in Germany since 2018, is a specific form of home treatment. Between 2021 and 2022, IEHT was compared to inpatient psychiatric treatment in a 12-months follow-up quasi-experimental study with two propensity score matched cohorts in 10 psychiatric centers in Germany. This article reports results on the treatment during the acute episode and focuses on involvement in decision-making, patient satisfaction, and drop-out rates. Methods: A total of 200 service users receiving IEHT were compared with 200 matched statistical "twins" in standard inpatient treatment. Premature termination of treatment as well as reasons for this was assessed using routine data and a questionnaire. In addition, we measured patient satisfaction with care with a specific scale. For the evaluation of patient involvement in treatment decisions, we used the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Results: Patients were comparable in both groups with regard to sociodemographic and clinical characteristics. Mean length-of-stay was 37 days for IEHT and 28 days for inpatient treatment. In both groups, a similar proportion of participants stopped treatment prematurely. At the end of the acute episode, patient involvement in decision-making (SDM-Q-9) as well as treatment satisfaction scores were significantly higher for IEHT patients compared to inpatients. Conclusions: Compared to inpatient care, IEHT treatment for acute psychiatric episodes was associated with higher treatment satisfaction and more involvement in clinical decisions.
Databáze:	MEDLINE
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