Andreoli Paola Bruno de Araujo, Citero Vanessa de Albuquerque, Mari Jair de Jesus
Mental Health Department, Albert Einstein Hospital, São Paulo, Brazil.
Psychosomatics. 2003 Nov-Dec;44(6):499-507. doi: 10.1176/appi.psy.44.6.499.
A systematic review of cost-effectiveness analyses of mental health consultation-liaison interventions in general hospitals was conducted. Few studies have evaluated the cost-effectiveness of consultation-liaison interventions, and only two articles met the criteria for inclusion in the review. The comparable variable was length of the hospital stay. It could not be concluded that psychiatric consultation had an effect on the duration of hospital stays. In one of the studies, the group that received psychiatric consultation showed improvement in depressive symptoms. Additional studies would have been relevant to this review if they had replicated clinical practice by using a naturalistic research design.
对综合医院心理健康咨询联络干预措施的成本效益分析进行了系统评价。很少有研究评估咨询联络干预措施的成本效益,只有两篇文章符合纳入该评价的标准。可比变量是住院时间。无法得出精神科会诊对住院时间有影响的结论。在其中一项研究中,接受精神科会诊的组在抑郁症状方面有所改善。如果其他研究采用自然主义研究设计来复制临床实践,那么这些研究与本评价相关。