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Evaluation of a Model of Integrated Care for Patients With Chronic Medical and Psychiatric Illness

机译：评估慢性医学和精神疾病患者综合护理模型

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Background: Chronic illnesses are prevalent in general medical and psychiatric practices, causing signcant disease burden to care givers and providers. Systems of care that treat individuals with mental illness are often separate from general medical systems of care. Objective: This study sought to compare the quality of life, satisfaction with care, and utilization of care in patients with comorbid chronic medical and mental illnesses. Methods: A total of 64 participants from an integrated medicine and psychiatry clinic (medl psych), were compared with 52 patients from separate internal medicine and psychiatry clinics (within the same institution) for quality of life, satisfaction with care, and utilization of care. Result: Patients receiving integrated care reported being more satisfied with care compared with patients treated separately. There were no differences in quality of life between the groups. A nonsignificant trend toward fewer emergency room visits and fewer hospital stays for the integrated care group compared with the separate care group was observed. Conclusion: This study demonstrated that integrated care for psychiatric and medical disorders improved the patients' experience of care and therefore may have positively affected the outcome of care. Further work is needed to compare medical and psychiatric comorbidities and costs of care and quality measures in these 2 groups.
机译：背景：慢性疾病在一般医疗和精神疾病方面是普遍的，导致患者和提供者的患者疾病负担。用精神疾病治疗个体的护理系统通常与一般医疗护理系统分开。目的：这项研究试图比较患者的慢性医学和精神疾病患者的生活质量，对护理的利用和利用。方法：综合药物和精神病学诊所（Medl Falcy）共有64名参与者，与52名从单独的内科和精神病学诊所（在同一机构内）进行比较，以获得生活质量，对护理的满意度以及照顾的利用。结果：与单独治疗的患者相比，接受综合护理的患者报告对护理更加满意。组之间的生活质量没有差异。观察到与单独护理小组相比，急诊室访问更少急诊室访问和较少医院住院的趋势较少的趋势。结论：本研究表明，精神病和医学障碍的综合护理改善了患者的护理经验，因此可能会影响关注的结果。需要进一步的工作来比较这两组的医疗和精神病学家和护理费用和质量措施的成本。

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