logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Detection and treatment of psychiatric illness in a general medical ward : A modified cost-benefit analysis.

    Article - En anglais

    This article describes a prospective, randomized, controlled trial of screening and treatment for psychiatric disorder in medical in-patients.

    The study has assessed whether increased recognition of psychiatric disorder among medical in-patients improves clinical outcome and reduces the costs of care, and whether routine involvement of a psychiatrist in the assessment and care of medical in-patients with probable psychiatric disorder is superior to the efforts of the physicians alone.

    A total of 218 medical in-patients who scored over the screening threshold for psychiatric disorder on the General Health Questionnaire were randomly allocated to one of two intervention groups or a control group.

    Six months later their mental health, subjective health status, quality of life, and costs of care was reassessed.

    Mental health and quality of life at 6 months were similar in the two intervention groups and the control group.

    Patients whose physicians were told the results of the screening test had lower costs for subsequent admissions, but this was probably due to differences between the groups in terms of employment status.

    Treatments recommended by psychiatrists broke down when patients were discharged home, leading to inadequate treatment of psychiatric disorders.

    We have not been able to show that routine screening for psychiatric disorder produces any benefit, either in better outcome for patients or reduced costs for the NHS. (...)

    Mots-clés Pascal : Psychiatrie liaison, Diagnostic, Traitement, Médecine générale, Service hospitalier, Hôpital, Trouble psychiatrique, Analyse avantage coût, Organisation santé, Economie santé, Dépistage, Homme

    Mots-clés Pascal anglais : Liaison psychiatry, Diagnosis, Treatment, Internal medicine, Hospital ward, Hospital, Mental disorder, Cost benefit analysis, Public health organization, Health economy, Medical screening, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0521829

    Code Inist : 002B18H05B. Création : 23/03/1999.