Cost-Effectiveness of Nurse Therapists' Behavioural Treatment of Neurotic Disorders

I. Marks, G. Ginsberg
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引用次数: 1

Abstract

With limited therapeutic resources, increasing demands for behavioural psychotherapy impose rationing by long waiting lists. Every patient taken on for treatment denies it to another who has to wait. Given this constraint, therapists can help many more patients by concentrating their scarce time on sufferers likely to show tangible improvement with brief treatment. This policy was applied to the treatment of 42 neurotics (mainly phobics and obsessive-compulsives) who completed exposure treatment with nurse-therapists in a mean of 9 sessions (16 hours). A cost-effectiveness study was mounted of the year before and after treatment.
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护理治疗师行为治疗神经性障碍的成本-效果分析
由于治疗资源有限,对行为心理治疗的需求不断增加,导致长时间的等待名单导致定量配给。每个接受治疗的病人都拒绝让另一个不得不等待的病人接受治疗。考虑到这一限制,治疗师可以把他们有限的时间集中在那些可能在短暂治疗中表现出明显改善的患者身上,从而帮助更多的患者。42名神经症患者(主要是恐惧症患者和强迫症患者)在护士治疗师的指导下完成了平均9次(16小时)的暴露治疗。对治疗前后一年进行了成本效益研究。
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Ethical Issues For Human Services A.J. Culyer York Studies in Economics and social choice. Need and the National Health Service . Martin Robinson, 1976. Price £2.95 (paperback) £6.50 (boards) D.M. Galloway (1976) Case Studies in Classroom Management Longmans £2.25 Radical Behaviourist v Cognitive Psychology: a Pseudo-Quarrel? The Treatment of Agoraphobia in General Practice
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