[Treatment in psychiatric day hospital in comparison with inpatient wards in different European health care systems--objectives of EDEN project].

Abstract:

:The paper presents the objectives and design of an ongoing multicenter randomized, controlled trial EDEN (European Day Hospital EvaluatioN). The EDEN-study aims to evaluate the efficacy of acute psychiatric treatment in a day hospital setting in five European centres: Dresden, London, Michalovce, Prague and Wroclaw. The main hypothesis is that day hospital treatment for acute psychiatric patients is as effective as conventional inpatient hospital care. The objectives of the study are to evaluate the viability and effectiveness of day hospitals for acute psychiatric treatment, to identify subgroups of patients with a more or less favourable outcome so that the treatment setting might be specifically applied and to ascertain the cost-effectiveness of day hospital treatment compared to conventional inpatient treatment. The study utilises a Randomised Controlled Trial (RCT) design with repeated measures at a maximum of six time points: at admission (t1), one week after admission (t2), four weeks after admission (t3), discharge (t4), three months after discharge (t5), and 12 months after discharge (t6). A combination of well-established standardised assessment instruments and open questions is used in 6 time periods. If the findings accept the main hypothesis of the study, some practical consequences could be inevitable: at a mental health policy level, these results could lead to an increase in the capacity of day hospitals; at the clinical level clinicians could redefine their concepts of care to consider the day hospital as an alternative to conventional inpatient treatment; from economic point of view could lead to reduction of treatment costs.

journal_name

Psychiatr Pol

journal_title

Psychiatria polska

authors

Kiejna A,Kallert TW,Rymaszewska J

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

361-7

issue

6 Suppl

eissn

0033-2674

issn

2391-5854

journal_volume

36

pub_type

临床试验,杂志文章,随机对照试验
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  • [Psychotic symptoms and cognitive impairment in neurosarcoidosis. Case report and review of literature].

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    doi:

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