Costs

6th October 20196th October 2019Immo Weichert

CBT based intervention in elderly COPD patients is cost-effective, reduces depressive symptoms and ED attendances

This is a study that was published in 2010. [1] This study measured the effectiveness of a non-exercise-based four-week cognitive-behavioural intervention, delivered in a group setting for elderly patients with severe COPD. The intervention used a cognitive-behavioural format to address understanding of COPD and medication, anxiety, panic and depression, activity pacing, relaxation, breathing retraining and…

5th October 20196th October 2019Immo Weichert

Cognitive behavioural therapy delivered by respiratory nurses is clinically effective and cost-effective for patients with chronic obstructive pulmonary disease and symptoms of anxiety

This is a randomised controlled trial that was published in 2018. [1] A total of 236 patients with a diagnosis of mild to very severe COPD took part in the trial. Each patient was screened for anxiety using the HADS-Anxiety Subscale. This is a questionnaire that asks patients about their feelings of anxiety and depression…

5th October 20196th October 2019Immo Weichert

Psychological interventions reduce length of stay and health care costs

This is a meta-analysis that was published in 1999. [1] The authors analysed the impact of psychological interventions on the use of medical services by examining the outcome of 91 studies published between 1967 and 1997. Psychological treatments included psychotherapy, behavioural medicine, and psychiatric consultation. Psychological interventions in hospitals and other settings reduced the length…

2nd October 20192nd October 2019Immo Weichert

Psychiatric comorbidity increases the costs associated with medical admissions by 40%

A retrospective study published in 2018. [1] The study included 338,162 inpatient episodes discharged between 2011 and 2014 at a German university hospital. Psychiatric comorbidities were associated with an increase in hospital costs per episode of 40% and an increase of reimbursement per episode of 28%, representing marginal effects of 1344 € and 1004 €,…

2nd October 20192nd October 2019Immo Weichert

Psychiatric comorbidity increases the length of stay of medical admissions

This is a paper from 1994 which has since been cited close to 200 times. [1] The authors critically reviewed 26 international and American outcome studies that assessed the effect of psychiatric comorbidity on length of stay for medical/surgical inpatients. Eighty-nine per cent of all studies with sample sizes greater than 110 and 75% of…