Cost-effectiveness of providing insurance benefits for posthospital psychiatric halfway house stays.
Cost-effectiveness of providing insurance benefits for posthospital psychiatric halfway house stays.
复制标题
为出院后精神科中途住宿提供保险福利的成本效益。
DOI：
10.1037//0003-066x.45.10.1118
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Bonnie Katz
中科院分区：
文献类型：
--
作者：
R. Coursey;Lucia Ward;Bonnie Katz
制定了一套住院后精神病康复中心护理的保险福利示范方案，并向32名住院精神病患者提供。在住院后14个月内，对提供120天福利包的治疗和成本效益进行了检查。这是比较的有效性，住院福利单独为相同的病人超过42个月前中途宿舍入院。在治疗效果方面，有没有显着恶化后出院的症状或行为应对量表，除了增加躯体化。每年的医院再犯率从79%下降到29%，每位患者的平均住院时间从83天下降到18天。就成本效益而言，中途宿舍福利为保险公司节省了59%的住院费用。这些研究结果的影响进行了讨论。
A model insurance benefit package of post hospitalization psychiatric halfway house care was developed and administered to 32 hospitalized mentally ill persons. The therapeutic and cost effectiveness of providing a 120-day benefit package was examined over a 14-month post-hospitalization period. This was compared with the effectiveness of hospitalization benefits alone for the same patients over the 42 months prior to halfway house admission. In terms of therapeutic efficacy, there was no significant deterioration after hospitalization release in either the symptom or behavioral coping scales, except for an increase in somatization. Yearly hospital recidivism rates fell from 79% to 29%, and the average yearly length of hospital stay per patient fell from 83 days to 18 days. In terms of cost-effectiveness, halfway house benefits saved the insurers 59% of their hospitalization costs. The implications of these findings are discussed.