Randomised controlled trial of two models of care for discharged psychiatric patients

Abstract

countries. We need results from Finnish datasets that cover persons with diabetes treated by diet and include information on the disease (type, treatment, duration) and risk factors. British analyses of (pooled?) population based datasets with a large number of deaths would help in assessing the validity of the findings of Chaturvedi et al. The situation in other countries should also be studied.

Psychiatric Units in general hospitals. Problems and perspectives in Europe

“…Inoltre, e stato dimostrato che una eccessiva scarsita di posti-letto per acuti in un'area determinata si accompagna a maggiori costi assistenziali complessivi, causati dal riversarsi delle necessita di ricovero in altre aree geografiche, con conseguenti necessita di rimborso delle spese di ricovero (Tyrer et al, 1998). 2.…”

Acute hospital care: the beauty and the beast of psychiatry

“…It follows that community services alone are unlikely to ever make up for the need of acute hospital care when it arises (Tyrer et al, 1998), as so often is the case. Perhaps more to the point, no community service is likely to succeed if it does not count on the provision of an effective, well-structured and readily available acute in-patient service.…”

Does deinstitutionalisation work? Relationships between psychiatric outpatient and inpatient care provision in a rural German catchment area

“…For patients at risk of beginning a career of long-term psychiatric hospitalization, sole reliance on community-initiated orders appeared to prevent additional hospital involvement [18] . Tyrer et al [19] compared the clinical outcome and costs of care of psychiatric patients in London allocated to community-based multidisciplinary teams or to hospital-based outpatient care programmes after discharge from inpatient care; the clinical outcomes were similar but admission to hospital during follow-up was more likely in the hospital-based care group. In general, lack of 24-hour emergency settings correlates positively with the use of inpatient care alone [20] .…”