Clinical Decision Making and Mental Health Service Use Among Persons With Severe Mental Illness Across Europe
| Autor: | Wolfram Kawohl, Corrado De Rosa, Povl Munk-Jørgensen, Roland Berecz, Theodóra Glaub, Malene Krogsgaard Bording, Esra-Sultan Ay, Bernd Puschner, Sabine Loos, Mike Slade, Nadja Zenter, Wulf Rössler, Suzanne Cosh, Mario Luciano |
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| Přispěvatelé: | Cosh, Suzanne, Zenter, Nadja, Ay, Esra-Sultan, Loos, Sabine, Slade, Mike, De Rosa, Corrado, Luciano, Mario, Berecz, Roland, Glaub, Theodora, Munk-Jørgensen, Povl, Bording, Malene Krogsgaard, Rã¶ssler, Wulf, Kawohl, Wolfram, Puschner, Bernd |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty mental health care Adolescent Clinical Decision-Making Poison control clinical decision making Suicide prevention Occupational safety and health 03 medical and health sciences Young Adult 0302 clinical medicine Patient satisfaction severe mental illne Patient Admission Psychotherapy/outcome studie Health care cost Journal Article Medicine Humans 030212 general & internal medicine Prospective Studies Patient participation Psychiatry service use Inpatient treatment business.industry Mental Disorders General hospital psychiatry Patient Preference Community psychiatry Middle Aged CARE Mental illness medicine.disease 030227 psychiatry Europe Psychiatry and Mental Health Observational study Female Patient Participation business |
| Zdroj: | Cosh, S, Zenter, N, Ay, E-S, Loos, S, Slade, M, De Rosa, C, Luciano, M, Berecz, R, Glaub, T, Munk-Jorgensen, P, Bording, M K, Roessler, W, Kawohl, W & Puschner, B 2017, ' Clinical Decision Making and Mental Health Service Use Among Persons With Severe Mental Illness Across Europe ', Psychiatric Services, vol. 68, no. 9, pp. 970-974 . https://doi.org/10.1176/appi.ps.201600114 Cosh, S, Zenter, N, Ay, E-S, Loos, S, Slade, M, De Rosa, C, Luciano, M, Berecz, R, Glaub, T, Munk-Jørgensen, P, Bording, M F K, Rössler, W, Kawohl, W & Puschner, B 2017, ' Clinical Decision Making and Mental Health Service Use Among Persons With Severe Mental Illness Across Europe ', Psychiatric Services, vol. 68, no. 9, pp. 970-974 . https://doi.org/10.1176/appi.ps.201600114 |
| DOI: | 10.1176/appi.ps.201600114 |
| Popis: | OBJECTIVE: The study explored relationships between preferences for and experiences of clinical decision making (CDM) with service use among persons with severe mental illness.METHODS: Data from a prospective observational study in six European countries were examined. Associations of baseline staff-rated (N=213) and patient-rated (N=588) preferred and experienced decision making with service use were examined at baseline by using binomial regressions and at 12-month follow-up by using multilevel models.RESULTS: A preference by patients and staff for active patient involvement in decision making, rather than shared or passive decision making, was associated with longer hospital admissions and higher costs at baseline and with increases in admissions over 12 months (p=.043). Low patient-rated satisfaction with an experienced clinical decision was also related to increased costs over the study period (p=.005).CONCLUSIONS: A preference for shared decision making may reduce health care costs by reducing inpatient admissions. Patient satisfaction with decisions was a predictor of costs, and clinicians should maximize patient satisfaction with CDM. |
| Databáze: | OpenAIRE |
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