Advanced Search
MyIDEAS: Login

When costs count: The impact of staff size, skill mix and treatment intensity on patient outcome for psychotherapeutic day treatment programmes

Contents:

Author Info

  • Halsteinli, Vidar
  • Karterud, Sigmund
  • Pedersen, Geir
Registered author(s):

    Abstract

    The objective was to explore the relationship between staff related variables and patient outcome in day treatment programmes for patients with personality disorders. The importance of staff size, skill mix and treatment intensity (hours of treatment per week) was examined, in addition to location-specific effects. Multi-centre data routinely collected under non-experimental conditions from nine units, all members of a cooperative network in Norway, were analysed using a multilevel analysis. The data set consisted of treatment unit characteristics for the period 1993-2005, constituting an unbalanced panel of 71 units, together with information from 1574 patients who completed day treatment according to the plan. Patient outcome was measured by change in Global Assessment of Functioning Scale (GAF). Twelve per cent of variation in patient outcome was attributed to the treatment unit level. Staff size and treatment intensity influenced outcome to a minor extent, while an increased proportion of nurses or other college-educated personnel was associated with improved patient outcome. A positive location-specific effect was found in one unit attached to a university. Potential cost savings seem to be apparent with respect to staff size and, to some extent, skill mix.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.sciencedirect.com/science/article/B6V8X-4RWFJ8H-1/1/f4848ed5a598e6ca0a1632b748f80e1f
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 86 (2008)
    Issue (Month): 2-3 (May)
    Pages: 255-265

    as in new window
    Handle: RePEc:eee:hepoli:v:86:y:2008:i:2-3:p:255-265

    Contact details of provider:
    Web page: http://www.elsevier.com/locate/healthpol

    Related research

    Keywords:

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Andrew Healey & Massimo Mirandola & Francesco Amaddeo & Paola Bonizzato & Michele Tansella, 2000. "Using health production functions to evaluate treatment effectiveness: an application to a community mental health service," Health Economics, John Wiley & Sons, Ltd., vol. 9(5), pages 373-383.
    2. Richardson, Gerald & Maynard, Alan & Cullum, Nicky & Kindig, David, 1998. "Skill mix changes: substitution or service development?," Health Policy, Elsevier, vol. 45(2), pages 119-132, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:86:y:2008:i:2-3:p:255-265. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei) or () The email address of this maintainer does not seem to be valid anymore. Please ask to update the entry or send us the correct address.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.