مورد إلكتروني
Self-admission to inpatient treatment in anorexia nervosa : Impact on healthcare utilization, eating disorder morbidity, and quality of life
| العنوان: | Self-admission to inpatient treatment in anorexia nervosa : Impact on healthcare utilization, eating disorder morbidity, and quality of life |
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| بيانات النشر: | Örebro universitet, Institutionen för medicinska vetenskaper Region Örebro län Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden; Transcultural Centre, Northern Stockholm Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill North Carolina, USA; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill North Carolina, USA University Health Care Research Center Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden; Stockholm Centre for Eating Disorders, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden 2020 |
| تفاصيل مُضافة: | Strand, Mattias Bulik, Cynthia M. Gustafsson, Sanna Aila von Hausswolff-Juhlin, Yvonne Welch, Elisabeth |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objective: Little evidence exists concerning the optimal model of inpatient care for patients with longstanding anorexia nervosa (AN). Self-admission has been developed as a treatment tool whereby patients with a history of high healthcare utilization are invited to decide for themselves when brief admission is warranted. The aim of this study was to evaluate the impact of a self-admission program on healthcare utilization, eating disorder morbidity, health-related quality of life (HRQoL), and sick leave for patients with AN. Method: In this cohort study, 29 participants with AN in a Swedish self-admission program were compared to 113 patients with longstanding illness but low previous utilization of inpatient treatment, matched based on age, illness duration, and body-mass index (BMI). Data on healthcare utilization, eating disorder morbidity, and sick leave were obtained from national population and eating disorder quality registers. Results: Participants displayed a >50% reduction in time spent hospitalized at 12-month follow-up, compared to nonsignificant changes in the comparison group. A sensitivity analysis comparing participants to a moderate-utilization comparison subgroup strengthened this observation. In contrast, the approach did not affect participants' BMI or eating disorder morbidity. Regarding HRQoL, mixed results were observed. In terms of sick leave, a beneficial but nonsignificant pattern was seen for participants. Discussion: These findings indicate that self-admission is a viable and helpful tool within a recovery model framework, even though it does not lead to symptom remission. In its proper context, self-admission could potentially transform healthcare from crisis-driven to pre-emptive, and promote autonomy for severely ill patients. Funding Agencies:ALF Medicin (Karolinska Institutet/Stockholm County Council)Kvinnor Hälsa PRIO (Stockholm County Council) Psykiatrifonden Värkstadsstiftelsen Stiftelsen Krica |
| مصطلحات الفهرس: | anorexia nervosa, feeding and eating disorders, inpatients, patient admission, patient participation, voluntary admissions, Psychiatry, Psykiatri, Article in journal, info:eu-repo/semantics/article, text |
| DOI: | 10.1002.eat.23346 |
| URL: | International Journal of Eating Disorders, 0276-3478, 2020, 53:10, s. 1685-1695 |
| الإتاحة: | Open access content. Open access content info:eu-repo/semantics/restrictedAccess |
| ملاحظة: | English |
| أرقام أخرى: | UPE oai:DiVA.org:oru-84932 doi:10.1002/eat.23346 PMID 32666605 ISI:000548237800001 Scopus 2-s2.0-85087864168 1234143286 |
| المصدر المساهم: | UPPSALA UNIV LIBR From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1234143286 |
| قاعدة البيانات: | OAIster |
| DOI: | 10.1002.eat.23346 |
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