Budman S H, Demby A B, Feldstein M L
Med Care. 1984 Mar;22(3):216-22. doi: 10.1097/00005650-198403000-00004.
The authors report on a controlled examination of the effects of mental health intervention on the use of medical services in a health maintenance organization. Thirty-six patients were randomly assigned, after initial evaluation, either to begin immediately short-term (15 weekly session) group therapy or for those same 15 weeks to remain on a waiting list. The results seemed to indicate that both patients treated immediately and patients who were wait-listed reduced their medical utilization. Wait-list patients, however, appeared to reduce health care use more than immediate-treatment patients. Further, examination of the patterns of health care use showed that wait-listed patients were more likely to have changed their patterns of utilization than immediate-treatment patients. These findings, which must be interpreted cautiously because of the small number of subjects, appear to support the results of other studies that indicate that those patients with the least mental health intervention appear to have the greatest reductions in medical utilization.
作者报告了一项在健康维护组织中对心理健康干预对医疗服务使用影响的对照研究。36名患者在初始评估后被随机分配，要么立即开始为期15周的短期团体治疗，要么在同样的15周内留在等待名单上。结果似乎表明，立即接受治疗的患者和等待名单上的患者都减少了医疗使用。然而，等待名单上的患者似乎比立即接受治疗的患者更多地减少了医疗保健使用。此外，对医疗保健使用模式的检查表明，等待名单上的患者比立即接受治疗的患者更有可能改变他们的使用模式。由于受试者数量较少，这些发现必须谨慎解释，但似乎支持了其他研究的结果，即那些接受最少心理健康干预的患者似乎在医疗使用方面减少最多。
