Abstract:
OBJECTIVE:To compare direct and indirect costs of day and inpatient treatment of acute psychiatric illness. DESIGN:Randomised controlled trial with outcome and costs assessed over 12 months after the date of admission. SETTING:Teaching hospital in an inner city area. SUBJECTS:179 patients with acute psychiatric illness referred for admission who were suitable for random allocation to day hospital or inpatient treatment. 77 (43%) patients had schizophrenia. INTERVENTIONS:Routine inpatient or day hospital treatment. MAIN OUTCOME MEASURES:Direct and indirect costs over 12 months, clinical symptoms, social functioning, and burden on relatives over the follow up period. RESULTS:Clinical and social outcomes were similar at 12 months, except that inpatients improved significantly faster than day patients and burden on relatives was significantly less in the day hospital group at one year. Median direct costs to the hospital were 1923 pounds (95% confidence interval 750 pounds to 3174 pounds) per patient less for day hospital treatment than inpatient treatment. Indirect costs were greater for day patients; when these were included, overall day hospital treatment was 2165 pounds cheaper than inpatient treatment (95% confidence interval of median difference 737 pounds to 3593 pounds). Including costs to informants when appropriate meant that day hospital treatment was 1994 pounds per patient cheaper (95% confidence interval 600 pounds to 3543 pounds). CONCLUSIONS:Day patient treatment is cheaper for the 30-40% of potential admissions that can be treated in this way. Carers of day hospital patients may bear additional costs. Carers of all patients with acute psychiatric illness are often themselves severely distressed at the time of admission, but day hospital treatment leads to less burden on carers in the long term.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
Creed F,Mbaya P,Lancashire S,Tomenson B,Williams B,Holme Sdoi
10.1136/bmj.314.7091.1381subject
Has Abstractpub_date
1997-05-10 00:00:00pages
1381-5issue
7091eissn
0959-8138issn
1756-1833journal_volume
314pub_type
临床试验,杂志文章,随机对照试验abstract::The studyEveritt H, Landau G, Little P. Therapist telephone-delivered CBT and web-based CBT compared with treatment as usual in refractory irritable bowel syndrome: the ACTIB three-arm RCT. Health Technol Assess 2019;23:1-154.This project was funded by the NIHR Health Technology Assessment Programme (project number 11...
journal_title:BMJ (Clinical research ed.)
pub_type: 评论,杂志文章
doi:10.1136/bmj.l4962
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abstract:OBJECTIVE:To quantify the association of indices of central obesity, including waist circumference, hip circumference, thigh circumference, waist-to-hip ratio, waist-to-height ratio, waist-to-thigh ratio, body adiposity index, and A body shape index, with the risk of all cause mortality in the general population, and t...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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abstract:OBJECTIVES:To examine trends over time in the rates of admission to hospital for accidents of preschool children and to study patterns of repeated admissions for accidents in these children. DESIGN:Analysis of linked, routine abstracts of hospital inpatient records for accidents. SETTING:Six districts in the Oxford R...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2008-09-02 00:00:00
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pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:To assess and improve the quality of care provided to women undergoing induced abortion. DESIGN:Two rounds of prospective, criterion based case note review audit. SETTING:Ten NHS gynaecology units throughout Scotland. SUBJECTS:2004 patient episodes of abortion care identified consecutively during two roun...
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pub_type: 杂志文章,多中心研究
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:1988-10-15 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1999-11-20 00:00:00
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pub_type: 杂志文章
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更新日期:1996-08-10 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2016-04-06 00:00:00
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pub_type: 杂志文章
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更新日期:2012-12-14 00:00:00
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pub_type: 杂志文章
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更新日期:2009-06-16 00:00:00
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更新日期:2009-07-28 00:00:00
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pub_type: 新闻
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更新日期:1992-07-25 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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更新日期:2006-05-20 00:00:00
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pub_type: 杂志文章
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更新日期:2012-04-05 00:00:00
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更新日期:2012-12-13 00:00:00
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pub_type: 杂志文章
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更新日期:2008-06-21 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2012-02-02 00:00:00
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更新日期:2004-09-11 00:00:00
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更新日期:2012-12-17 00:00:00