Olbrisch M E
Med Care. 1981 Feb;19(2):153-9. doi: 10.1097/00005650-198102000-00003.
This study examined the effectiveness of a brief educational intervention with high utilizers of a prepaid university health service. Each of 165 participants was assigned to one of three groups; health screening plus health education, health screening control, or no contact comparison. The treatment consisted of a 1-hour educational session designed to make participants aware of psychological and social factors that make people prone to illness and to inappropriate use of health resources. The treatment appeared to be responsible for reducing utilization of the university health center for a short period of time, with this effect dissipating over time. There were no significant differences between groups on other outcome measures. The findings for this treatment are compared with the results of other studies indicating the psychotherapy may have some effect in reducing inappropriate high medical care utilization.
本研究考察了针对一所预付费大学健康服务高利用率人群的简短教育干预措施的有效性。165名参与者每人被分配到三组中的一组：健康筛查加健康教育组、健康筛查对照组或无接触比较组。治疗包括一次为时1小时的教育课程，旨在让参与者了解使人易患疾病以及不恰当使用健康资源的心理和社会因素。该治疗似乎在短时间内降低了大学健康中心的利用率，但随着时间推移这种效果逐渐消失。在其他结果指标上，各组之间没有显著差异。将该治疗的结果与其他研究结果进行了比较，其他研究表明心理治疗在减少不恰当的高医疗服务利用率方面可能有一定效果。
