A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
A cultural consultation service in East London: Experiences and outcomes from implementation of an innovative service
复制标题
DOI：
10.3109/09540261.2014.992303
复制
发表时间：
2015-02-01
影响因子：
2.8
通讯作者：
Ajaz, Ali
中科院分区：
文献类型：
--
作者：
Bhui, Kamaldeep S.;Owiti, John A.;Ajaz, Ali
本文报道了一种新型文化咨询服务（CCS）的可行性研究与评价。在英国最贫穷的地区之一，这种多成分和系统复杂的干预措施在18个月的时间里提供给专业精神卫生提供者。该科共接获900宗与临床有关的联络及99宗深入谘询。转介到CCS的服务使用者的临床需求水平很高，在国家健康结果量表上的平均得分为15.9分。总体而言，整体功能评估评分有所改善，症状也有改善的趋势。由于减少使用意外和紧急（A&E）服务、精神病医生和社区精神科护士(cpn)/病例管理员，在CCS干预后，常规护理水平（以及隐含的相关费用）显著降低。成本分析表明，每位患者可节省497英镑。干预的成本并不比常规护理高，并且可能在3个月甚至更长时间的随访中减少每位患者的花费。更具体地说，临床医生认为文化咨询服务有助于改善治疗计划（71%），参与（50%），药物依从性（21%）和早期出院（7%）。
This paper reports on a feasibility study and evaluation of a new type of cultural consultation service (CCS). This multicomponent and systemic complex intervention was offered over 18 months to specialist mental health providers in one of the poorest regions of the UK. The service received 900 clinically related contacts and 99 in-depth consultations. Service users who were referred to the CCS had high levels of clinical needs with an average score of 15.9 on the Health of the Nation Outcomes Scale. Overall, Global Assessment of Function scores improved and there were trends for improvements in symptoms. The level of routine care (and by implication associated costs) significantly reduced after CCS intervention, due to a reduction in use of accident and emergency (A&E) services, psychiatrists and community psychiatric nurses (CPNs)/case managers. Cost analysis indicates that savings amounted to 497 pound per patient. The cost of intervention was no greater than usual care, and may reduce spend per patient over a 3-month follow-up and perhaps longer. More specifically, clinicians felt the cultural consultation service helped to improve the treatment plan (71%), engagement (50%), medication compliance (21%) and earlier discharge (7%).