不列颠哥伦比亚省心境障碍协会精神科急诊治疗计划：对一种建议的精神科门诊治疗替代模式的初步评估。
The mood disorders association of british columbia psychiatric urgent care program: a preliminary evaluation of a suggested alternative model of outpatient psychiatric care.
机构信息
Medical Director, Mood Disorders Association of British Columbia Psychiatric Urgent Care Program, Vancouver, British Columbia.
Director of Research and Development, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia.
出版信息
Can J Psychiatry. 2014 Apr;59(4):220-7. doi: 10.1177/070674371405900407.
OBJECTIVE
To describe an alternative model of psychiatric outpatient care for patients with mood and anxiety disorders (the Mood Disorders Association of British Columbia Psychiatric Urgent Care Program or the MDA Program) using group medical visits (GMV) and (or) email communications in lieu of individual follow-up appointments.
METHOD
Annual costs of the MDA Program were compared with average costs of private psychiatrists offering outpatient care and patients being treated in a mental health centre. In addition, questionnaires as to patient satisfaction with the MDA Program intake, GMV experience, and family physician satisfaction with the MDA Program were administered.
RESULTS
The MDA Program model of care is significantly more cost effective than individual psychiatric outpatient care or health authority mental health centre care for patients with moderate or severe illness. Patients and family physicians were very satisfied with the model of care and GMVs offered.
CONCLUSIONS
The MDA Program model of care appears to be efficient and cost-effective, and patients and referring physicians appear satisfied with the care offered in this program.
目的
描述一种针对情绪和焦虑障碍患者的精神科门诊治疗的替代模式（不列颠哥伦比亚省情绪障碍协会精神科紧急护理计划或 MDA 计划），采用团体医疗访视（GMV）和/或电子邮件通信代替个体随访预约。
方法
比较 MDA 计划的年度成本与提供门诊治疗的私人精神科医生的平均成本，以及在心理健康中心接受治疗的患者的成本。此外，还对 MDA 计划的入院、GMV 体验以及家庭医生对 MDA 计划的满意度进行了问卷调查。
结果
对于中度或重度疾病患者，MDA 计划的护理模式明显比个体精神科门诊护理或卫生当局心理健康中心护理更具成本效益。患者和家庭医生对这种护理模式和提供的 GMV 非常满意。
结论
MDA 计划的护理模式似乎是高效和具有成本效益的，而且患者和转介医生对该计划提供的护理感到满意。
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