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A memory clinic v. traditional community mental health team service: comparison of costs and quality

Aims and method To compare the cost and quality of a memory-clinic-based service (MCS) with a traditional community mental health team (CMHT) service. Using a retrospective case-note review, we studied two groups, each with 33 participants. Consecutive referrals for diagnostic ‘memory’ assessments o...

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Autores principales: Rubinsztein, Judy Sasha, van Rensburg, Marelna Janse, Al-Salihy, Zerak, Girling, Deborah, Lafortune, Louise, Radhakrishnan, Muralikrishnan, Brayne, Carol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Psychiatrists 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495837/
https://www.ncbi.nlm.nih.gov/pubmed/26191416
http://dx.doi.org/10.1192/pb.bp.113.044263
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author Rubinsztein, Judy Sasha
van Rensburg, Marelna Janse
Al-Salihy, Zerak
Girling, Deborah
Lafortune, Louise
Radhakrishnan, Muralikrishnan
Brayne, Carol
author_facet Rubinsztein, Judy Sasha
van Rensburg, Marelna Janse
Al-Salihy, Zerak
Girling, Deborah
Lafortune, Louise
Radhakrishnan, Muralikrishnan
Brayne, Carol
author_sort Rubinsztein, Judy Sasha
collection PubMed
description Aims and method To compare the cost and quality of a memory-clinic-based service (MCS) with a traditional community mental health team (CMHT) service. Using a retrospective case-note review, we studied two groups, each with 33 participants. Consecutive referrals for diagnostic ‘memory’ assessments over 4 months were evaluated. Participants were evaluated for up to 6 months. Results The MCS was less costly than the CMHT service but the difference was not statistically significant (mean cost for MCS was £742, mean cost for CMHT service was £807). The MCS offered more multidisciplinary and comprehensive care, including: pre- and post-diagnostic counselling, more systematic screening of blood for reversible causes of dementia, more use of structured assessment instruments in patients/carers, signposting to the third sector as well as more consistent copying of letters to patients/carers. Clinical implications An MCS service offered more comprehensive and multidisciplinary service at no extra cost to secondary care.
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spelling pubmed-44958372015-07-17 A memory clinic v. traditional community mental health team service: comparison of costs and quality Rubinsztein, Judy Sasha van Rensburg, Marelna Janse Al-Salihy, Zerak Girling, Deborah Lafortune, Louise Radhakrishnan, Muralikrishnan Brayne, Carol BJPsych Bull Original Papers Aims and method To compare the cost and quality of a memory-clinic-based service (MCS) with a traditional community mental health team (CMHT) service. Using a retrospective case-note review, we studied two groups, each with 33 participants. Consecutive referrals for diagnostic ‘memory’ assessments over 4 months were evaluated. Participants were evaluated for up to 6 months. Results The MCS was less costly than the CMHT service but the difference was not statistically significant (mean cost for MCS was £742, mean cost for CMHT service was £807). The MCS offered more multidisciplinary and comprehensive care, including: pre- and post-diagnostic counselling, more systematic screening of blood for reversible causes of dementia, more use of structured assessment instruments in patients/carers, signposting to the third sector as well as more consistent copying of letters to patients/carers. Clinical implications An MCS service offered more comprehensive and multidisciplinary service at no extra cost to secondary care. Royal College of Psychiatrists 2015-02 /pmc/articles/PMC4495837/ /pubmed/26191416 http://dx.doi.org/10.1192/pb.bp.113.044263 Text en © 2014 The Royal College of Psychiatrists http://creativecommons.org/licenses/by/4.0/ This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Rubinsztein, Judy Sasha
van Rensburg, Marelna Janse
Al-Salihy, Zerak
Girling, Deborah
Lafortune, Louise
Radhakrishnan, Muralikrishnan
Brayne, Carol
A memory clinic v. traditional community mental health team service: comparison of costs and quality
title A memory clinic v. traditional community mental health team service: comparison of costs and quality
title_full A memory clinic v. traditional community mental health team service: comparison of costs and quality
title_fullStr A memory clinic v. traditional community mental health team service: comparison of costs and quality
title_full_unstemmed A memory clinic v. traditional community mental health team service: comparison of costs and quality
title_short A memory clinic v. traditional community mental health team service: comparison of costs and quality
title_sort memory clinic v. traditional community mental health team service: comparison of costs and quality
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495837/
https://www.ncbi.nlm.nih.gov/pubmed/26191416
http://dx.doi.org/10.1192/pb.bp.113.044263
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