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基层医疗中针对躯体形式障碍患者的简短家庭干预的成本效益

Cost-efficiency of a brief family intervention for somatoform patients in primary care.

作者信息

Schade Nieves, Torres Patricio, Beyebach Mark

机构信息

Department of Psychology, Universidad de Concepcion, Chile.

出版信息

Fam Syst Health. 2011 Sep;29(3):197-205. doi: 10.1037/a0024563.

Abstract

We sought to determine the cost-efficiency of a brief family intervention program for patients with somatoform disorder. Two hundred fifty-six somatoform patients from 7 centers of primary care in Chile were randomly assigned to either brief family intervention (BFI) or treatment as usual. The experimental group presented a significant cost reduction (p = .001) 6 months and 12 months after the intervention, with lower costs than the control group on all measured variables and no decrease in patient satisfaction. Our results suggest that BFI might be a cost-efficient way of meeting the needs of somatoform patients. Replications in other cultural contexts and dismantling studies to identify the effective ingredients of BFI are recommended.

摘要

我们试图确定一项针对躯体形式障碍患者的简短家庭干预项目的成本效益。来自智利7个初级保健中心的256名躯体形式障碍患者被随机分配到简短家庭干预组(BFI)或常规治疗组。干预6个月和12个月后,实验组的成本显著降低(p = .001),在所有测量变量上的成本均低于对照组,且患者满意度没有下降。我们的结果表明,简短家庭干预可能是满足躯体形式障碍患者需求的一种具有成本效益的方式。建议在其他文化背景下进行重复研究,并开展拆解研究以确定简短家庭干预的有效成分。

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