Costs and effects of managing chronic psychotic patients
著者
書誌事項
Costs and effects of managing chronic psychotic patients
（Health systems research）
New York Springer-Verlag, c1988
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注記
Includes bibliographies
内容説明・目次
内容説明
Since the early 1970s, delivery of care to people who are consid- ered to suffer from chronic psychotic disturbances has been at a crossroads. In 1983, the European Regional Office of the World Health Organization (WHO), within its health economics pro- gramme, encouraged international research on the economic impli- cations of alternative strategies of care for those patients. Origi- nally, it was intended to compare at least two or more strategies of managing chronic psychotics, especially strategies which place dif- ferent emphasis on inpatient and outpatient care.
Instead of designing a fully coordinated, multinational, multi- centre study based on a mutually agreed on study protocol, we de- cided on the following: - To meet with researchers interested in the social, psychological, and economic features of health care for chronic psychotic pa- tients - To stimulate ongoing research projects or to initiate new ones - To discuss quite different approaches from international and - terdisciplinary points of view - To review and revise the diversified end products of such an open research process For this purpose, we outlined a broad range of topics which could be included in the study: - Methodological problems of evaluation in this field - Social and economic implications of psychiatric deinstitutiona- zation - Scenarios of various degrees of deinstitutionalization - Assessment of (hospital) costs of the treatment for chronic sc- zophrenic and other psychotic patients - Public and private costs of the main treatment strategies - Time-expenditure analyses of chronic psychotic patients
目次
Background Reports.- Studies on the Cost-Effectiveness of Managing Chronic Psychotic Patients. Report on a WHO Planning Meeting at Mannheim, 2-4 May, 1983.- Summary Report of the WHO Meeting 'Cost-Effectiveness of Managing Chronic Psychotic Patients', Munich, 16-18 December, 1985.- National Approaches.- Management of the Cost-Effectiveness of Managing Chronic Psychotic Persons in Ireland.- Social and Economic Policies in the Mental Health Sector in Greece.- Financing of Care for the Chronically Mentally Ill in the USA: A Patchwork of Policies.- Managing Chronic Psychotic Patients: A Clinical and a Political Point of View.- Regional Approaches.- Economic Analysis of Different Patterns of Psychiatric Treatment and Management of Chronic Psychotic Patients in the Basque Country.- Cost-Effectiveness of Health-Care Delivery to Chronic Psychotic Patients in Southern Alberta, Canada.- Schizophrenia: Results of a Cohort Study with Respect to Cost-Accounting Problems of Patterns of Mental Health Care in Relation to Course of Illness.- Cost-Effectiveness of Managing Chronic Psychotic Patients: Italian Experience Under the New Psychiatric Law.- Institutional Approaches.- The Application of Modified Cost-Benefit Analysis in the Evaluation of a Hostel Ward for Chronic Psychotic Patients.- The Cost of Long-Term Psychoses in a Scottish Psychiatric Hospital.- Management of Schizophrenia: Cost-Benefits, Time-Budget, Better Treatment? Which Time Frame Are We in?.- Methodological Approaches.- Methodological Problems of Comparing the Cost-Effectiveness of Different Mental Health Institutions.- Time-Budget Analysis for Chronic Patients. Towards a Cost-Effectiveness - Oriented Indicator System for Comparing Inpatient and Outpatient Psychiatric Care.
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