Centre for Health Economics, University of York, Heslington, York, UK.
Br J Psychiatry. 2011 Jul;199(1):71-6. doi: 10.1192/bjp.bp.110.079830. Epub 2011 Feb 3.
BACKGROUND: In 2000/01 crisis resolution and home treatment (CRHT) teams were introduced in England and have been associated in previous studies with reductions in in-patient admissions. AIMS: To examine whether the implementation of CRHT teams has been associated with reductions in admissions. METHOD: We used data from a previous national study for 229 primary care trusts (PCTs) between 1998/99 and 2003/04. We used a robust policy evaluation methodology to simultaneously examine temporal changes (PCTs before versus after the introduction of CRHT teams) and cross-sectional changes (PCTs with and without CRHT teams). RESULTS: Controlling for various confounding factors, using different control groups and estimation methods, we find no significant differences in admissions between PCTs with and without CRHT teams. CONCLUSIONS: Contrary to previous studies, we find no evidence that the CRHT policy per se has made any difference to admissions and suggest a need for more research on the policy as a whole.
背景:2000/01 年危机解决和家庭治疗(CRHT)团队在英格兰推出,此前的研究表明,该团队与减少住院治疗有关。
目的:研究 CRHT 团队的实施是否与减少住院有关。
方法:我们使用了之前一项针对 1998/99 年至 2003/04 年 229 个初级保健信托(PCT)的全国性研究的数据。我们使用了一种稳健的政策评估方法,同时检查了时间变化(CRHT 团队引入前后的 PCT)和横截面变化(有和没有 CRHT 团队的 PCT)。
结果:在控制了各种混杂因素、使用不同的对照组和估计方法后,我们发现有和没有 CRHT 团队的 PCT 之间的住院人数没有显著差异。
结论:与之前的研究相反,我们没有发现 CRHT 政策本身对住院人数有任何影响的证据,并建议对整个政策进行更多的研究。
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