The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in <scp>E</scp>ngland

Reichert, Anika; Jacobs, Rowena

doi:10.1002/hec.3800

Cited by 131 publications

(93 citation statements)

References 61 publications

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“…In addition, several studies document the value of physical examinations and initial primary care visits (Solberg, Maciosek, and Edwards, 2008;Zaman, 2018), which are the third most common reason for new patient appointments (Table 1). New patients also are more likely than established patients to need treatment for hearing loss and stress or mental health-related treatment-conditions for which timeliness of care is of utmost importance (Reichert & Jacobs, 2018). Veterans are a vulnerable population with a higher incidence of mental health issues and alcohol and drug abuse.…”

Section: Optimal Waits For New and Established Patientsmentioning

confidence: 99%

Priority access to health care: Evidence from an exogenous policy shock

et al. 2020

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Access to care is an important issue in public health care systems. Unlike private systems, in which price equilibrates supply and demand, public systems often ration medical services through wait times. Access that is given on a first come, first served basis might not yield an allocation of resources that maximizes the health of a population, potentially creating suboptimal heterogeneity in wait times. In this study, we examine an access disparity between two groups of patients-established patients and new patients. We exploit an exogenous policy change-implemented by the U.S. Veterans Health Administration-that removed the disparity and homogenized the wait time.We find strong evidence that without such a policy, established patients have priority access over new patients. We discuss whether this is a suboptimal allocation of resources. We additionally find that established patient priority access is an important determinant of access for new patients; accounting for it increased the explanatory power of our statistical model of new patient wait times by a factor of five. The findings imply that policy and management decisions may be more effective in achieving the optimal distribution of access if access heterogeneity is recognized and accounted for explicitly. K E Y W O R D Saccess to care, prioritization, public health care, resource allocation, wait time

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Section: Optimal Waits For New and Established Patientsmentioning

confidence: 99%

Priority access to health care: Evidence from an exogenous policy shock

et al. 2020

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“…Therapists evaluate their level of knowledge regarding different psychological approaches, including Stanislav Grof's HMP (Grof, 2015) They demonstrate being open to a theoretical and experiential approach to HMP and its praxis, HB They indicate reasons for a theoretical and experiential approach to HMP and its praxis, HB Awareness of the limited diversity of psychological approaches presented in their academic background Knowledge of the main topics of HMP and their expansions relative to traditional approaches Attitude of commitment to the project's educational and experiential program Skill to organize their personal calendars to participate in project activities psychosis (Marshall & Rathbone, 2011;Reichert & Jacobs, 2018;Schmidt et al, 2015), a set of studies and early assistance for people with signs of psychological distress was implemented in 2001, taking as assumptions the observation that hospital admittance had not been shown to be the best option for those who present psychotic suffering prodromes and that proper and early management can interrupt the ongoing aggravating situation (Costa, 2017;Freitas & Costa, 2018 With that in mind, since its implementation, the program has been directed at people under severe psychological distress in their first-episode mental crisis of a psychotic type. Family participation has also been a criterion for inclusion in the program.…”

Section: Determinants and Change Objectives Methods Applicationsmentioning

confidence: 99%

“…Regarding the program development, it was observed that the model of early intervention in psychotic crises developed by GIPSI, albeit inspired by the English experience of early intervention in psychotic crisis (Marshall & Rathbone, 2011;Reichert & Jacobs, 2018;Schmidt et al, 2015), distances itself from this model while advancing some of its aspects, notably abandoning the "psychosis" diagnosis and evaluation based on prodromes of this pathology to look at the signs of disorganization and suffering that could indicate a mental health crisis (Freitas & Costa, 2018). Another peculiarity of the GIPSI Program is the inclusion of the family in the therapeutic care based on the understanding that suffering reverberates from the individual into their family environment.…”

Section: Determinants and Change Objectives Methods Applicationsmentioning

confidence: 99%

“…As the value of a nonpathologizing approach to NOSC-connected psychological phenomena has been evidenced, the experience of the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type (GIPSI) from the Center for Psychology Assistance and Study (CAEP) at the University of Brasilia (UnB) is highlighted. Established in 2001, this group is inspired by the British model of early intervention in psychosis to welcome and care for people experiencing NOSC, even when only prodromes are present, to minimize or interrupt the psychological aggravation that commonly occurs and which grows the longer first intervention is delayed (Allard, Lancaster, Clayton, Amos, & Birchwood, 2018;Marshall & Rathbone, 2011;Reichert & Jacobs, 2018;Schmidt et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Applying intervention mapping approach to a program for early intervention in first-episode mental crisis of a psychotic type

Machado

Murta

Costa

2020

Psicol. Refl. Crít.

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The holotropic mind perspective, an integral part of the framework of transpersonal psychology, has been considered a revolutionary approach to a certain spectrum of experiences in Non-ordinary states of consciousness (NOSC) which conventional approaches tend to treat indiscriminately as pathological processes, because PHM recognizes in these experiences their healing and evolutionary potential. This article describes the needs assessment, implementation, and evaluation of an experiential and educational program on the holotropic mind perspective and its praxis, Holotropic Breathwork® (HB), with students and professionals from the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type of the University of Brasilia. The intervention aimed to establish change goals and objectives that would promote the adoption of the holotropic mind perspective's elements, such as a framework to broaden and strengthen mental health programs that assist people experiencing NOSC. The stages developed, inspired by the Intervention Mapping protocol, included a needs assessment; elaboration of change objective matrices; selection and description of methods based on theory and their applications; conception, planning, and implementation of the intervention; and results evaluation. Participants reported that the intervention allowed the expansion of their theoretical-conceptual and technical frameworks, giving them a less pathologizing understanding of and approach to NOSC and allowing them to perceive and manage such states, not as indiscriminately pathological expressions, but as phenomena inherent to the human condition that can be accepted and cared for without the exclusionary and exhaustive bias of mental disorders. Limitations and practical implications are discussed.

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“…However, timeliness is still the least studied and least understood dimensions of quality care. [2] Long waiting times (WT) may negatively affect health outcomes [3,4] and patient experience with clinical care, including perceived quality of care. [5] Canadian patients waiting for a consultation with a medical specialist for a new medical condition reported worry, stress, anxiety, deterioration of health and loss of work.…”

Section: Introductionmentioning

confidence: 99%

A novel methodology to measure waiting times for community-based specialist care in a public healthcare system

Miron

Novikov

Ziv

et al. 2019

Preprint

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Background: Monitoring of waiting time (WT) in healthcare systems is essential, since long WT are associated with adverse health outcomes, reduced patient satisfaction and increased private financing. Objective: To develop a methodology for routine national monitoring of WT for community-based non-urgent specialist appointments, in a public healthcare system. Design: Observational historical study using data from computerized appointment scheduling systems of all Health Maintenance Organizations (HMOs) in Israel. Data sources: Data included available appointments for community-based specialists and actual number of visits. The first 50 available appointments from each specialist appointment book were collected throughout December 2018. Five most frequently visited specialties - orthopedics, ophthalmology, gynecology, dermatology and otolaryngology - were included. Data collection/extraction approach: WT offered to HMO members (OWT) were calculated for two scenarios: ‘specific’ physician and ‘any’ physician in the clinic's geographical region. Distribution of OWT was calculated separately for each specialty and geographical region, combined to create the nationwide distribution, and expressed as mean, standard deviation and percentiles. Principal findings: Estimated national median OWT for “specific” physician, ranged from 6 days (ophthalmology) to 13 days (dermatology), with large variation between geographic regions. OWT for ‘any’ physician were 28-50% shorter than for ‘specific’ physician. Conclusions: This novel method offers a solution for ongoing national WT measurement, using computerized scheduling systems. It integrates patient preferences for physician choice and allows identification of differences between specialties and regions, setting the ground for interventions to strengthen public healthcare systems.

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The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England

Cited by 131 publications

References 61 publications

Priority access to health care: Evidence from an exogenous policy shock

Priority access to health care: Evidence from an exogenous policy shock

Applying intervention mapping approach to a program for early intervention in first-episode mental crisis of a psychotic type

A novel methodology to measure waiting times for community-based specialist care in a public healthcare system

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