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住院等效家庭治疗(IEHT)与住院精神科治疗的比较:一项使用倾向评分的回顾性匹配队列研究的12个月随访结果

[Inpatient Equivalent Home Treatment (IEHT) compared to inpatient psychiatric treatment: 12-month follow-up results of a retrospectively matched cohort study using propensity score].

作者信息

Nikolaidis Konstantinos, Weinmann Stefan, Döring Sophia, Fischer Lasse, Kleinschmidt Martin, Pfeiffer Jan, Multamäki Sari, Bühling-Schindowski Felix, Timm Jürgen, Bechdolf Andreas

机构信息

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Am Urban, Berlin.

Psychiatrie, Universitätsspital Basel, Switzerland.

出版信息

Psychiatr Prax. 2024 Mar;51(2):92-98. doi: 10.1055/a-2177-6113. Epub 2023 Nov 9.

DOI:10.1055/a-2177-6113
PMID:37944945
Abstract

AIM OF THE STUDY

Comparison of psychiatric services use in the 12-month follow-up period between Inpatient Equivalent Home Treatment (IEHT) and inpatient psychiatric treatment.

METHODS

In a retrospective 12-month follow-up study, 223 patients from the Inpatient Equivalent Home Treatment (IEHT) intervention group (IG) were compared to a matched inpatient control group (CG) on their utilization of psychiatric services.

RESULTS

The inpatient readmission rate in the IG was significantly 11% lower than in the CG. The number of treatment days in the IG was significantly lower than in the CG. In the IG, psychiatric services at the outpatient clinic were used significantly more often for the first time than in the CG.

CONCLUSION

The present study suggests that IEHT is superior to inpatient treatment in terms of the risk of inpatient readmission and the duration of inpatient treatment days. An outpatient services use effect following IEHT is observed.

摘要

研究目的

比较住院等效家庭治疗(IEHT)和住院精神科治疗在12个月随访期内的精神科服务使用情况。

方法

在一项回顾性12个月随访研究中,将住院等效家庭治疗(IEHT)干预组(IG)的223名患者与匹配的住院对照组(CG)在精神科服务利用方面进行比较。

结果

IG组的住院再入院率比CG组显著低11%。IG组的治疗天数显著少于CG组。在IG组中,门诊精神科服务首次使用的频率显著高于CG组。

结论

本研究表明,在住院再入院风险和住院治疗天数方面,IEHT优于住院治疗。观察到IEHT后门诊服务使用效果。

相似文献

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[Inpatient Equivalent Home Treatment (IEHT) compared to inpatient psychiatric treatment: 12-month follow-up results of a retrospectively matched cohort study using propensity score].住院等效家庭治疗(IEHT)与住院精神科治疗的比较:一项使用倾向评分的回顾性匹配队列研究的12个月随访结果
Psychiatr Prax. 2024 Mar;51(2):92-98. doi: 10.1055/a-2177-6113. Epub 2023 Nov 9.
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[Comparison of Inpatient Equivalent Home Treatment (IEHT) with Standard Inpatient Treatment: A Matched Cohort Study].住院等效家庭治疗(IEHT)与标准住院治疗的比较:一项匹配队列研究
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Implementation, efficacy, costs and processes of inpatient equivalent home-treatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial.德国精神卫生保健中住院等效家庭治疗的实施、效果、成本和流程(AKtiV):一项混合方法、参与式、准实验研究的方案。
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JAMA Netw Open. 2024 Nov 4;7(11):e2445042. doi: 10.1001/jamanetworkopen.2024.45042.
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Coercive Measures in Psychiatry Can Hardly Be Justified in Principle Any Longer-Ethico-Legal Requirements Versus Empirical Research Data and Conceptual Issues.精神病学中的强制手段原则上几乎不再合理——伦理法律要求与实证研究数据及概念问题
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