Rethinking the Place of the Psychein Health: Toward the Integration of Health Care Systems

Kathol, Roger G.; Clarke, David M.

doi:10.1080/j.1440-1614.2005.01687.x

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…This implies higher health care costs for complex patients [11]. It may be added that the number of ER visits is also known to be a risk factor for hospitalization [28].…”

Section: Discussionmentioning

confidence: 99%

“…This has been demonstrated for different patient groups [1]–[5]. Compelling evidence suggests that biopsychosocial case complexity influences patient health outcomes [6], [7], health care use [8], patient management [9], [10] and health care expenditure [11]. With the INTERMED method, a validated clinimetric instrument, biological, psychological, social and health care-related aspects of disease are rated resulting in a patient profile in these four domains.…”

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial Health Care Needs at the Emergency Room: Challenge of Complexity

et al. 2012

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BackgroundIn an emergency room of internal medicine, triage and treatment of patients deserve first priority. However, biopsychosocial case complexity may also affect patient health outcome but has not yet been explored in this setting. Therefore, the aims of the study are (1) to estimate prevalence rates of complex patients in the emergency room (ER), (2) to describe biopsychosocial complexity in this population and (3) to evaluate possible correlations between patient profiles regarding case complexity and further clinical treatment.MethodsDuring a study period of one week, all patients of an emergency room of internal medicine who were triaged to Manchester levels three to five were invited to participate in the study. Biopsychosocial case complexity was assessed by the INTERMED method. Psychosocial interventions were evaluated based on all documented interventions and recommendations given at the emergency room and during inpatient treatment.ResultsStudy participants consisted of 167 patients with a subgroup of 19% (n = 32) receiving subsequent inpatient-treatment at the department. High biopsychosocial case complexity was found in 12% (n = 20) of the total sample (INTERMED score >20). This finding was paralleled by a cluster analysis suggesting three clusters with one highly complex patient group of 14%. These highly complex patients differed significantly from the other clusters as they had visited the emergency room more often within the last year and lived alone more frequently. In addition, admission rates were highest in this group. During ER treatment and subsequent inpatient treatment, 21% of highly complex patients received interventions addressing psychosocial factors as compared to 6% and 7%, respectively, in the other clusters.ConclusionsA standardized screening of biopsychosocial case complexity among ‘frequent utilizers’ of the ER would be helpful to detect specific multidisciplinary health care needs among this particularly burdened patient group.

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“…This implies higher health care costs for complex patients [11]. It may be added that the number of ER visits is also known to be a risk factor for hospitalization [28].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Biopsychosocial Health Care Needs at the Emergency Room: Challenge of Complexity

et al. 2012

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“…Based on the increasing evidence that demonstrates the complex interrelationships between mental and physical health, health care services should no longer address mental and physical health independently of one another. Mental health should be integrated into all health care services (Herrman et al, 2004;Kathol & Clarke, 2005).…”

Section: Awareness and Knowledge Of Mhpmentioning

confidence: 99%

Building mental health promotion capacity in health care: results from Phase I of a workforce development project

Rauscher

Ardiles

Griffin

2013

International Journal of Mental Health Promotion

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Gerontopsychosomatischer Konsil‑/Liaisondienst in der stationären Akutgeriatrie

Lindner

2018

Z Gerontol Geriat

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In comparison with the control ward during the intervention the answers to both questions showed an increasing trust in the nurses and an increasing experience of speaking about anxieties and concerns with the nurses. This is evaluated as some evidence for the promotion of the patients' contentment with the treatment CONCLUSION: A psychosomatic consultation-/liaison service in geriatric medicine generates a positive effect on the relationship between patients and nursing staff, especially concerning trust and acceptance in existential situations of illness and limitation in hospital.

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Rethinking the Place of the Psychein Health: Toward the Integration of Health Care Systems

Cited by 5 publications

References 33 publications

Biopsychosocial Health Care Needs at the Emergency Room: Challenge of Complexity

Biopsychosocial Health Care Needs at the Emergency Room: Challenge of Complexity

Building mental health promotion capacity in health care: results from Phase I of a workforce development project

Gerontopsychosomatischer Konsil‑/Liaisondienst in der stationären Akutgeriatrie

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