Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients

Tamara Seitz, Kurt Stastka, Michael Schiffinger, Bela Rui Turk, Henriette Löffler-Stastka

Publikation: Wissenschaftliche FachzeitschriftOriginalbeitrag in FachzeitschriftBegutachtung

Abstract

This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5–2.21), a decrease in impairment due to pain (d = 2.24), and a decrease in symptom severity (d = 1.29). They took fewer medications and sick days, reported fewer hospital stays and medical examinations, and consulted and changed physicians and outpatient clinics less often (d = 0.55–1.1). The average cost per patient was cut in half, down to €80.000/$96.000 per year. From a clinical standpoint, group analysis that focused on aggression was the most effective intervention.
OriginalspracheEnglisch
Seiten (von - bis)105 - 127
FachzeitschriftBulletin of the Menninger Clinic
Jahrgang83
Ausgabenummer2
DOIs
PublikationsstatusVeröffentlicht - 2019

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