Abstract:
PURPOSE OF REVIEW:Overview on integrated care trials focusing on effectiveness and efficiency published from 2011 to 2013. RECENT FINDINGS:Eight randomized controlled trials (RCTs) and 21 non-RCT studies were published from 2011 to 2013. Studies differed in several methodological aspects such as study population, psychotherapeutic approaches used, outcome parameters, follow-up times, fidelities, and implementation of the integrated care model and the nation-specific healthcare context with different control conditions. This makes it difficult to draw firm conclusions. Most studies demonstrated relevant improvements regarding symptoms (P=0.001) and functioning (P=0.01), quality of life (P=0.01), adherence (P<.05) and patient's satisfaction (P=0.01), and reduction of caregiver's stress (P<0.05). Mean total costs were favoring or at least equalizing costs but with positive effects found on subjective health favoring integrated care models. SUMMARY:There is an increasing interest in the effectiveness and efficiency of integrated care models in patients with mental disorders, specifically in those with severe and persistent mental illness. To increase generalizability, future trials should exactly describe rationales and content of integrated care model and control conditions.
journal_name
Curr Opin Psychiatryjournal_title
Current opinion in psychiatryauthors
Schöttle D,Karow A,Schimmelmann BG,Lambert Mdoi
10.1097/YCO.0b013e328361ec3bsubject
Has Abstractpub_date
2013-07-01 00:00:00pages
384-408issue
4eissn
0951-7367issn
1473-6578pii
00001504-201307000-00014journal_volume
26pub_type
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
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journal_title:Current opinion in psychiatry
pub_type: 杂志文章,评审
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更新日期:2015-05-01 00:00:00
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journal_title:Current opinion in psychiatry
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更新日期:2020-05-01 00:00:00
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journal_title:Current opinion in psychiatry
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更新日期:2011-07-01 00:00:00