644 research outputs found
A Cost-Effectiveness Analysis to Evaluate a System Change in Mental Healthcare in the Netherlands for Patients with Depression or Anxiety
Over the last decade, the Dutch mental healthcare system has been subject to profound policy reforms, in order to achieve affordable, accessible, and high quality care. One of the adjustments was to substitute part of the specialized care for general mental healthcare. Using a quasi-experimental design, we compared the cost-effectiveness of patients in the new setting with comparable patients from specialized mental healthcare in the old setting. Results showed that for this group of patients the average cost of treatment was significantly reduced by, on average, €2132 (p < 0.001), with similar health outcomes as in the old system
Routine outcome monitoring en benchmarking: hoe kunnen we behandelresultaten op een zorgvuldige manier vergelijken?
Contains fulltext :
157216.pdf (publisher's version ) (Open Access)Achtergrond: Het structureel meten van de resultaten van een behandeling in de geestelijke gezondheidszorg en het vergelijken daarvan tussen instellingen helpen om inzicht te krijgen in het effect van behandelingen in de reguliere praktijk. Doel: Geven van een overzicht van de kwesties die van belang zijn bij het vergelijken van instellingen. Methode: Analyseren van documentatie en beleidsinformatie over en praktijkervaring met routine outcome monitoring (rom). Resultaten: We beschrijven knelpunten die kunnen ontstaan bij het vergelijken van instellingen en formuleren oplossingsrichtingen voor deze knelpunten. Daarbij staat centraal dat het werken met rom een groeiproces is, waarbij men experimenteert met verschillende oplossingsrichtingen en op basis van ervaringen definitieve keuzes maakt. Conclusie: Het is leerzaam om instellingen te vergelijken, zowel onderling als met 'best practices' (benchmarking). Instellingen verschillen echter in cliëntenpopulaties, meetprocedures en instrumentarium. Een zinvolle vergelijking is op termijn toch mogelijk.5 p
Feedback-informed group treatment: a qualitative study of the experiences and needs of patients and therapists
Stress and Psychopatholog
The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders
Stress and Psychopatholog
What makes community psychiatric nurses label non-psychotic chronic patients as ‘difficult’: patient, professional, treatment and social variables
Contains fulltext :
99981.pdf (publisher's version ) (Open Access)Purpose
To determine which patient, professional, treatment and/or social variables make community psychiatric nurses (CPNs) label non-psychotic chronic patients as ‘difficult’.
Methods
A questionnaire was designed and administered to 1,946 CPNs in the Netherlands. Logistic regression was used to design models that most accurately described the variables that contributed to perceived difficulty.
Results
Six variables were retained in the final logistic model. Perception-related variables (feeling powerless, feeling that the patient is able but unwilling to change, and pessimism about the patient’s change potential) dominated treatment-related variables (number of contacts per week and admission to a locked ward in the last year) and social variables (number of psychosocial problems).
Conclusion
This research shows that perceived difficulty is related to complex treatment situations, not so much to individual patient characteristics. If the constructed model has good predictive qualities, which remains to be tested in longitudinal research, it may be possible to accurately predict perceived patient difficulty. When used as a screening tool, such a model could improve treatment outcomes.9 p
Measurement of azimuthal asymmetries in inclusive charged dipion production in annihilations at = 3.65 GeV
We present a measurement of the azimuthal asymmetries of two charged pions in
the inclusive process based on a data set of 62
at the center-of-mass energy GeV collected with
the BESIII detector. These asymmetries can be attributed to the Collins
fragmentation function. We observe a nonzero asymmetry, which increases with
increasing pion momentum. As our energy scale is close to that of the existing
semi-inclusive deep inelastic scattering experimental data, the measured
asymmetries are important inputs for the global analysis of extracting the
quark transversity distribution inside the nucleon and are valuable to explore
the energy evolution of the spin-dependent fragmentation function.Comment: 7 pages, 5 figure
Study of and and
We study the decays of and to the final states
and based on a single
baryon tag method using data samples of
and events collected with
the BESIII detector at the BEPCII collider. The decays to
are observed for the first time. The
measured branching fractions of and
are in good agreement with, and much
more precise, than the previously published results. The angular parameters for
these decays are also measured for the first time. The measured angular decay
parameter for , , is found to be negative, different to the other
decay processes in this measurement. In addition, the "12\% rule" and isospin
symmetry in the and and
systems are tested.Comment: 11 pages, 7 figures. This version is consistent with paper published
in Phys.Lett. B770 (2017) 217-22
Measurement of the Cross Section between 600 and 900 MeV Using Initial State Radiation
We extract the cross section in the energy
range between 600 and 900 MeV, exploiting the method of initial state
radiation. A data set with an integrated luminosity of 2.93 fb taken at
a center-of-mass energy of 3.773 GeV with the BESIII detector at the BEPCII
collider is used. The cross section is measured with a systematic uncertainty
of 0.9%. We extract the pion form factor as well as the
contribution of the measured cross section to the leading order hadronic vacuum
polarization contribution to . We find this value to be
.Comment: 14 pages, 7 figures, accepted by PL
Search for C-parity violation in and
Using events recorded in
collisions at 3.686 GeV with the BESIII at the BEPCII collider, we
present searches for C-parity violation in and decays via . No significant
signals are observed in either channel. Upper limits on the branching fractions
are set to be and
at the 90\%
confidence level. The former is one order of magnitude more stringent than the
previous upper limit, and the latter represents the first limit on this decay
channel.Comment: 7 pages, 2 figure
Observation of radiative decay and evidence for
A search for radiative decays of the -wave spin singlet charmonium
resonance is performed based on events
collected with the BESIII detector operating at the BEPCII storage ring. Events
of the reaction channels and are
observed with a statistical significance of and ,
respectively, for the first time. The branching fractions of and are measured to be
and , respectively, where the first errors are
statistical and the second are systematic uncertainties.Comment: 7 pages, 2 figure
- …