Integrated care in patients with schizophrenia: results of trials published between 2011 and 2013 focusing on effectiveness and efficiency
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Integrated care in patients with schizophrenia: results of trials published between 2011 and 2013 focusing on effectiveness and efficiency. / Schöttle, Daniel; Karow, Anne; Schimmelmann, Benno G; Lambert, Martin.
in: CURR OPIN PSYCHIATR, Jahrgang 26, Nr. 4, 01.07.2013, S. 384-408.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Integrated care in patients with schizophrenia: results of trials published between 2011 and 2013 focusing on effectiveness and efficiency
AU - Schöttle, Daniel
AU - Karow, Anne
AU - Schimmelmann, Benno G
AU - Lambert, Martin
N1 - Schimmelmann für: Univ Bern, Univ Hosp Child & Adolescent Psychiat, Bern, Switzerland
PY - 2013/7/1
Y1 - 2013/7/1
N2 - PURPOSE OF REVIEW: Overview on integrated care trials focusing on effectiveness and efficiency published from 2011 to 2013.RECENT FINDINGS: Eight randomized controlled trials (RCTs) and 21 non-RCT studies were published from 2011 to 2013. Studies differed in several methodological aspects such as study population, psychotherapeutic approaches used, outcome parameters, follow-up times, fidelities, and implementation of the integrated care model and the nation-specific healthcare context with different control conditions. This makes it difficult to draw firm conclusions. Most studies demonstrated relevant improvements regarding symptoms (P=0.001) and functioning (P=0.01), quality of life (P=0.01), adherence (P<.05) and patient's satisfaction (P=0.01), and reduction of caregiver's stress (P<0.05). Mean total costs were favoring or at least equalizing costs but with positive effects found on subjective health favoring integrated care models.SUMMARY: There is an increasing interest in the effectiveness and efficiency of integrated care models in patients with mental disorders, specifically in those with severe and persistent mental illness. To increase generalizability, future trials should exactly describe rationales and content of integrated care model and control conditions.
AB - PURPOSE OF REVIEW: Overview on integrated care trials focusing on effectiveness and efficiency published from 2011 to 2013.RECENT FINDINGS: Eight randomized controlled trials (RCTs) and 21 non-RCT studies were published from 2011 to 2013. Studies differed in several methodological aspects such as study population, psychotherapeutic approaches used, outcome parameters, follow-up times, fidelities, and implementation of the integrated care model and the nation-specific healthcare context with different control conditions. This makes it difficult to draw firm conclusions. Most studies demonstrated relevant improvements regarding symptoms (P=0.001) and functioning (P=0.01), quality of life (P=0.01), adherence (P<.05) and patient's satisfaction (P=0.01), and reduction of caregiver's stress (P<0.05). Mean total costs were favoring or at least equalizing costs but with positive effects found on subjective health favoring integrated care models.SUMMARY: There is an increasing interest in the effectiveness and efficiency of integrated care models in patients with mental disorders, specifically in those with severe and persistent mental illness. To increase generalizability, future trials should exactly describe rationales and content of integrated care model and control conditions.
KW - Clinical Trials as Topic
KW - Delivery of Health Care, Integrated
KW - Efficiency, Organizational
KW - Humans
KW - Schizophrenia
U2 - 10.1097/YCO.0b013e328361ec3b
DO - 10.1097/YCO.0b013e328361ec3b
M3 - SCORING: Journal article
C2 - 23722100
VL - 26
SP - 384
EP - 408
JO - CURR OPIN PSYCHIATR
JF - CURR OPIN PSYCHIATR
SN - 0951-7367
IS - 4
ER -
