Outcome analysis on individual health budgets in mental Health: finding from the Friuli Venezia Giulia Region, Italy.

IF 2.9 4区医学 Q2 PSYCHIATRY

Journal of Mental Health Pub Date : 2024-04-01 Epub Date: 2023-05-12 DOI:10.1080/09638237.2023.2210657

Fontecedro Elisa, Tossut Davide, Scattoni Maria Luisa, Micai Martina, Bonavigo Tommaso, Salvador-Carulla Luis, D'Avanzo Barbara, Furlan Morena, Castelpietra Giulio

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引用次数: 0

Abstract

Background: Individual Health Budget (IHB) is used for social and health integration and to facilitate processes of resource reorientation in healthcare. Despite its increased use in mental health settings, few studies investigated its effectiveness in severe mental disorders.

Methods: 383 IHB beneficiaries were recruited among Mental Health Departments users of the Italian region Friuli Venezia Giulia. Data involved sociodemographic and clinical variables, IHB type and scores of Health of the Nation Outcome Scale (HoNOS) at admission to IHB programme (T0), after 12 months (T1), and after 24 months (T2).

Results: The length and the mean number of hospitalisations and healthcare interventions decreased at T1. A significant scores' reduction from T0 to T1 evaluation was found in HoNOS total score (T-test (P) < 0.05) and in most of its items. An improvement throughout the whole evaluation period (T0 vs. T2) was found in 36% of the IHB beneficiaries, while more than 60% of them remained in the same HoNOS severity category.

Conclusions: Our results support the use of IHB in patients with severe mental problems, since it may contribute to an improvement in social and clinical functioning, consequently lowering the burden on MHDs.

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精神卫生领域个人医疗预算的成果分析：意大利弗留利-威尼斯-朱利亚大区的发现。

背景：个人健康预算（IHB）被用于社会和健康的整合，并促进医疗资源的重新定位过程。方法：在意大利弗留利-威尼斯-朱利亚大区的精神卫生部门用户中招募了 383 名个人健康预算受益者。数据包括社会人口学和临床变量、IHB类型以及入院时（T0）、12个月后（T1）和24个月后（T2）的国民健康结果量表（HoNOS）得分：结果：在 T1 阶段，住院治疗和医疗干预的时间长度和平均次数均有所减少。从 T0 到 T1 评估期间，HoNOS 总分（T 检验（P）< 0.05）及其大部分项目的得分均有明显下降。在整个评估期间（T0 vs. T2），有 36% 的 IHB 受益人的情况有所改善，而超过 60% 的受益人的 HoNOS 严重程度仍保持不变：我们的研究结果支持在严重精神问题患者中使用综合保健治疗，因为它有助于改善患者的社会和临床功能，从而减轻精神卫生中心的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

6.40

自引率

3.00%

发文量

117

期刊介绍： The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.