Mas-Expósito Laia, Amador-Campos Juan Antonio, Gómez-Benito Juana, Mauri-Mas Lluís, Lalucat-Jo Lluís
Department of Research, Centre d'Higiene Mental Les Corts, Barcelona, Spain.
Community Ment Health J. 2015 Feb;51(2):165-70. doi: 10.1007/s10597-014-9741-8. Epub 2014 Jun 28.
The aim of this study is to establish the effectiveness of a clinical case management (CM) programme compared to a standard treatment programme (STP) in patients with schizophrenia. Patients for the CM programme were consecutively selected among patients in the STP with schizophrenia who had poor functioning. Seventy-five patients were admitted to the CM programme and were matched to 75 patients in the STP. Patients were evaluated at baseline and at 1 year follow-up. At baseline, patients in the CM programme showed lower levels of clinical and psychosocial functioning and more care needs than patients in the STP. Both treatment programmes were effective in maintaining contact with services but the CM programme did not show advantages over the STP on outcomes. Differences between groups at baseline may be masking the effects of CM at one year follow-up. A longer follow-up may be required to evaluate the real CM practices effects.
本研究的目的是确定与标准治疗方案（STP）相比，临床病例管理（CM）方案对精神分裂症患者的有效性。CM方案的患者是从STP中功能较差的精神分裂症患者中连续选取的。75名患者被纳入CM方案，并与75名STP患者进行匹配。在基线和1年随访时对患者进行评估。在基线时，CM方案的患者比STP的患者表现出更低的临床和心理社会功能水平以及更多的护理需求。两种治疗方案在维持与服务机构的联系方面均有效，但CM方案在结局方面并未显示出优于STP的优势。基线时两组之间的差异可能掩盖了1年随访时CM的效果。可能需要更长时间的随访来评估CM实际做法的效果。
