Effectiveness and efficiency of assertive outreach for Schizophrenia in Germany
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Effectiveness and efficiency of assertive outreach for Schizophrenia in Germany : study protocol on a pragmatic quasi-experimental controlled trial. / Bramesfeld, Anke; Moock, Jörn; Kopke, Kirsten; Büchtemann, Dorothea; Kästner, Denise; Radisch, Jeanett; Rössler, Wulf.
in: BMC PSYCHIATRY, Jahrgang 13, 01.01.2013, S. 56.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Effectiveness and efficiency of assertive outreach for Schizophrenia in Germany
T2 - study protocol on a pragmatic quasi-experimental controlled trial
AU - Bramesfeld, Anke
AU - Moock, Jörn
AU - Kopke, Kirsten
AU - Büchtemann, Dorothea
AU - Kästner, Denise
AU - Radisch, Jeanett
AU - Rössler, Wulf
PY - 2013/1/1
Y1 - 2013/1/1
N2 - BACKGROUND: A model of assertive outreach (AO) in which office-based psychiatrists collaborate with ambulatory nursing services for providing intensive home-treatment is currently being implemented in rural areas of Lower Saxony, Germany. The costs of the model are reimbursed by some of the statutory health insurance companies active in Lower Saxony. Effectiveness and efficiency of this model for patients suffering from schizophrenia is evaluated in a pragmatic and prospective trial.METHODS: Quasi-experimental controlled trial: patients receiving the intervention are all those receiving AO; controls are patients not eligible for AO based on their health insurance affiliation.ELIGIBILITY CRITERIA: clinical diagnosis of schizophrenia (ICD-10 F.20), aged at least 18 years and being moderately to severely impaired in global functioning.PRIMARY OUTCOME: admission and days spent in psychiatric inpatient care; secondary outcomes: clinical and functional status; patient satisfaction with chronic care; health care costs. Follow-up time: 6 and 12 months.DISCUSSION: The study faces many challenges typical to pragmatic trials such as the rejection of randomisation by service providers, the quality of treatment as usual (TAU) to which the intervention will be compared, and the impairment of the study subjects. Solutions of how to deal with these challenges are presented and discussed in detail.TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number: http://ISRCTN34900108, German Clinical Trial Register: http://DRKS00003351.
AB - BACKGROUND: A model of assertive outreach (AO) in which office-based psychiatrists collaborate with ambulatory nursing services for providing intensive home-treatment is currently being implemented in rural areas of Lower Saxony, Germany. The costs of the model are reimbursed by some of the statutory health insurance companies active in Lower Saxony. Effectiveness and efficiency of this model for patients suffering from schizophrenia is evaluated in a pragmatic and prospective trial.METHODS: Quasi-experimental controlled trial: patients receiving the intervention are all those receiving AO; controls are patients not eligible for AO based on their health insurance affiliation.ELIGIBILITY CRITERIA: clinical diagnosis of schizophrenia (ICD-10 F.20), aged at least 18 years and being moderately to severely impaired in global functioning.PRIMARY OUTCOME: admission and days spent in psychiatric inpatient care; secondary outcomes: clinical and functional status; patient satisfaction with chronic care; health care costs. Follow-up time: 6 and 12 months.DISCUSSION: The study faces many challenges typical to pragmatic trials such as the rejection of randomisation by service providers, the quality of treatment as usual (TAU) to which the intervention will be compared, and the impairment of the study subjects. Solutions of how to deal with these challenges are presented and discussed in detail.TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number: http://ISRCTN34900108, German Clinical Trial Register: http://DRKS00003351.
KW - Clinical Protocols
KW - Community Mental Health Services
KW - Cost-Benefit Analysis
KW - Germany
KW - Humans
KW - Long-Term Care
KW - Outpatients
KW - Patient Satisfaction
KW - Research Design
KW - Schizophrenia
U2 - 10.1186/1471-244X-13-56
DO - 10.1186/1471-244X-13-56
M3 - SCORING: Journal article
C2 - 23414234
VL - 13
SP - 56
JO - BMC PSYCHIATRY
JF - BMC PSYCHIATRY
SN - 1471-244X
ER -