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Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients.
Bulletin of the Menninger Clinic ( IF 1.0 ) Pub Date : 2019-06-01 , DOI: 10.1521/bumc_2019_83_01
Tamara Seitz 1, 2 , Kurt Stastka 3 , Michael Schiffinger 4 , Bela Rui Turk 5 , Henriette Löffler-Stastka 1
Affiliation  

This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5-2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55-1.1). The average cost per patient was cut in half, down to € 80,000/$96,000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.

中文翻译:

专业间护理可改善与健康有关的健康状况,并减少慢性疼痛患者的医疗费用。

这项研究评估了患有躯体症状障碍,表现出不能归因于医疗状况的慢性疼痛的患者,是否将从在精神病房住院的8周中受益。在终止后的1年随访中,作者检查了综合治疗降低患者费用的程度。共有106位患者参加了随访,并报告其总体健康状况显着改善(Cohen d = 1.5-2.21),因疼痛引起的损伤减少(d = 2.24)和症状严重程度降低(d = 1.29)。他们减少了用药和病假的次数,报告了更少的住院时间和体检,并且更少地咨询和更换医生和门诊诊所(d = 0.55-1.1)。每位患者的平均费用减少了一半,降至每年80,000欧元/ 96,000美元。
更新日期:2019-06-01
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