Maintaining Adherence Programme: evaluation of an innovative service model
| العنوان: | Maintaining Adherence Programme: evaluation of an innovative service model |
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| المؤلفون: | Judi Mallalieu, Llewellyn Lewis, Ian Smyth, Christine O'Keeffe, Sam Oliver, Laura Baldock |
| المصدر: | BJPsych Bulletin |
| بيانات النشر: | Royal College of Psychiatrists, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Service (business), medicine.medical_specialty, business.industry, Alternative medicine, Schizoaffective disorder, Disease, computer.software_genre, medicine.disease, Service model, Original Papers, 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, 0302 clinical medicine, Rating scale, Schizophrenia, Family medicine, Health care, Medicine, Data mining, business, computer, 030217 neurology & neurosurgery |
| الوصف: | Aims and methodThe Maintaining Adherence Programme (MAP) is a new model of care for patients with schizophrenia, schizoaffective disorder and bipolar affective disorder which aims to encourage adherence and prevent relapse. This evaluation, conducted by retrospective and prospective data collection (including patient questionnaires and staff interviews), aimed to describe MAP's impact on healthcare resource use, clinical measures and patient and staff satisfaction, following its implementation in a university National Health Service (NHS) foundation trust in England. We included 143 consenting patients who entered MAP before 31 March 2012.ResultsIn-patient bed days and non-MAP NHS costs reduced significantly in the 18 months post-MAP entry. At 15–18 months post-MAP, Medication Adherence Rating Scale scores had improved significantly from baseline and there was a shift towards less severe clinician-rated disease categories. Based on patient surveys, 96% would recommend MAP to friends, and staff were also overwhelmingly positive about the service.Clinical implicationsMAP was associated with reduced cost of treatment, improvements in clinical outcomes and very high patient and staff satisfaction. |
| اللغة: | English |
| تدمد: | 2056-4708 2056-4694 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cebe9d37683b9c26559df53468be6df7 http://europepmc.org/articles/PMC4768840 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....cebe9d37683b9c26559df53468be6df7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20564708 20564694 |
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