Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits

Four naturalistic time‐series studies contrasted adult male patients' use of hospital and clinic resources before and after their involvement in psychologist‐directed programs of stress management, pain control, vocational rehabilitation, and coping skill training. Six months after biofeedback...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Journal of clinical psychology 1987-11, Vol.43 (6), p.729-735
1. Verfasser:	Jacobs, Durand F.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Biofeedback, Psychology California Chronic Disease Cost-Benefit Analysis Hospitalization - economics Humans Length of Stay - economics Male Pain Management Psychotherapy - economics Referral and Consultation - economics Rehabilitation, Vocational - economics
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

container_end_page	735
container_issue	6
container_start_page	729
container_title	Journal of clinical psychology
container_volume	43
creator	Jacobs, Durand F.
description	Four naturalistic time‐series studies contrasted adult male patients' use of hospital and clinic resources before and after their involvement in psychologist‐directed programs of stress management, pain control, vocational rehabilitation, and coping skill training. Six months after biofeedback training, utilization rates for hospital days and clinic visits dropped 72% and 63%, respectively. One‐year follow‐ups showed that graduates of two vocational rehabilitation programs had reduced hospital days by 81 to 89% and clinic visits by 23 to 41%. After 1 year, graduates of an inpatient chronic pain program reduced former levels of hospital and clinic utilization by 72% and 50%, respectively. Three years later, hospital days of former pain patients remained 47% less than pretreatment, while clinic visits rose to pretreatment levels. Estimated medical cost‐offsets from the four programs exceeded $7 million.
doi_str_mv	10.1002/1097-4679(198711)43:6<729::AID-JCLP2270430615>3.0.CO;2-Z
format	Article
fullrecord	<record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77878936</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77878936</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4175-9ba0a643ada767978fad6b469ade7c935a0c0e58e536d169da67e8e6b04f4cd93</originalsourceid><addsrcrecordid>eNqVkUGP0zAQhS0EWsrCT0DKCcEhxY4dOy4IsQrQXVRRkEC76mXkOpOud9MkxMlC-fW4SlUJDkicfHjj9828R8hbRqeM0uQlo1rFQir9nOlMMfZC8Jl8rRI9m51dvIs_5ovPSaKo4FSy9A2f0mm-fJXEq3tkcvx6n0yCFYu1kslD8sj7G0qpoCw9ISecJUwqNSE3eeP7GMsSbe_usEbvo6aMfIvWmcr9wiJq_c5eN1WzcdZUUds1m85sfVQ2XdRhMVhXb6LrxreuD7Lvzc5Hpi6iZuhb0zus--jOedf7x-RBaSqPTw7vKfn24f3X_DxeLOcX-dkitoKpNNZrQ40U3BRGhStUVppCroXUpkBlNU8NtRTTDFMuCyZ1YaTCDOWailLYQvNT8mz0Dat-H9D3sHXeYlWZGpvBg1KZyjSXYfBqHLRd432HJbSd25puB4zCvgbYZwn7LGGsAQQHCaEGgFAD_FkDcKCQLyGBVbB-ethhWG-xOBofcg-6HfUfrsLdf3D_if1LCZR4pDjf488jxXS3IBVXKVx-mgNbfblMrs5TmPPf4eG29g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77878936</pqid></control><display><type>article</type><title>Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits</title><source>MEDLINE</source><source>Education Source</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Jacobs, Durand F.</creator><creatorcontrib>Jacobs, Durand F.</creatorcontrib><description>Four naturalistic time‐series studies contrasted adult male patients' use of hospital and clinic resources before and after their involvement in psychologist‐directed programs of stress management, pain control, vocational rehabilitation, and coping skill training. Six months after biofeedback training, utilization rates for hospital days and clinic visits dropped 72% and 63%, respectively. One‐year follow‐ups showed that graduates of two vocational rehabilitation programs had reduced hospital days by 81 to 89% and clinic visits by 23 to 41%. After 1 year, graduates of an inpatient chronic pain program reduced former levels of hospital and clinic utilization by 72% and 50%, respectively. Three years later, hospital days of former pain patients remained 47% less than pretreatment, while clinic visits rose to pretreatment levels. Estimated medical cost‐offsets from the four programs exceeded $7 million.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/1097-4679(198711)43:6<729::AID-JCLP2270430615>3.0.CO;2-Z</identifier><identifier>PMID: 3121677</identifier><language>eng</language><publisher>Brandon: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Biofeedback, Psychology ; California ; Chronic Disease ; Cost-Benefit Analysis ; Hospitalization - economics ; Humans ; Length of Stay - economics ; Male ; Pain Management ; Psychotherapy - economics ; Referral and Consultation - economics ; Rehabilitation, Vocational - economics</subject><ispartof>Journal of clinical psychology, 1987-11, Vol.43 (6), p.729-735</ispartof><rights>Copyright © 1987 Wiley Periodicals, Inc., A Wiley Company</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4175-9ba0a643ada767978fad6b469ade7c935a0c0e58e536d169da67e8e6b04f4cd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1097-4679%28198711%2943%3A6%3C729%3A%3AAID-JCLP2270430615%3E3.0.CO%3B2-Z$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1097-4679%28198711%2943%3A6%3C729%3A%3AAID-JCLP2270430615%3E3.0.CO%3B2-Z$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3121677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jacobs, Durand F.</creatorcontrib><title>Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits</title><title>Journal of clinical psychology</title><addtitle>J. Clin. Psychol</addtitle><description>Four naturalistic time‐series studies contrasted adult male patients' use of hospital and clinic resources before and after their involvement in psychologist‐directed programs of stress management, pain control, vocational rehabilitation, and coping skill training. Six months after biofeedback training, utilization rates for hospital days and clinic visits dropped 72% and 63%, respectively. One‐year follow‐ups showed that graduates of two vocational rehabilitation programs had reduced hospital days by 81 to 89% and clinic visits by 23 to 41%. After 1 year, graduates of an inpatient chronic pain program reduced former levels of hospital and clinic utilization by 72% and 50%, respectively. Three years later, hospital days of former pain patients remained 47% less than pretreatment, while clinic visits rose to pretreatment levels. Estimated medical cost‐offsets from the four programs exceeded $7 million.</description><subject>Adult</subject><subject>Biofeedback, Psychology</subject><subject>California</subject><subject>Chronic Disease</subject><subject>Cost-Benefit Analysis</subject><subject>Hospitalization - economics</subject><subject>Humans</subject><subject>Length of Stay - economics</subject><subject>Male</subject><subject>Pain Management</subject><subject>Psychotherapy - economics</subject><subject>Referral and Consultation - economics</subject><subject>Rehabilitation, Vocational - economics</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUGP0zAQhS0EWsrCT0DKCcEhxY4dOy4IsQrQXVRRkEC76mXkOpOud9MkxMlC-fW4SlUJDkicfHjj9828R8hbRqeM0uQlo1rFQir9nOlMMfZC8Jl8rRI9m51dvIs_5ovPSaKo4FSy9A2f0mm-fJXEq3tkcvx6n0yCFYu1kslD8sj7G0qpoCw9ISecJUwqNSE3eeP7GMsSbe_usEbvo6aMfIvWmcr9wiJq_c5eN1WzcdZUUds1m85sfVQ2XdRhMVhXb6LrxreuD7Lvzc5Hpi6iZuhb0zus--jOedf7x-RBaSqPTw7vKfn24f3X_DxeLOcX-dkitoKpNNZrQ40U3BRGhStUVppCroXUpkBlNU8NtRTTDFMuCyZ1YaTCDOWailLYQvNT8mz0Dat-H9D3sHXeYlWZGpvBg1KZyjSXYfBqHLRd432HJbSd25puB4zCvgbYZwn7LGGsAQQHCaEGgFAD_FkDcKCQLyGBVbB-ethhWG-xOBofcg-6HfUfrsLdf3D_if1LCZR4pDjf488jxXS3IBVXKVx-mgNbfblMrs5TmPPf4eG29g</recordid><startdate>198711</startdate><enddate>198711</enddate><creator>Jacobs, Durand F.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198711</creationdate><title>Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits</title><author>Jacobs, Durand F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4175-9ba0a643ada767978fad6b469ade7c935a0c0e58e536d169da67e8e6b04f4cd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult</topic><topic>Biofeedback, Psychology</topic><topic>California</topic><topic>Chronic Disease</topic><topic>Cost-Benefit Analysis</topic><topic>Hospitalization - economics</topic><topic>Humans</topic><topic>Length of Stay - economics</topic><topic>Male</topic><topic>Pain Management</topic><topic>Psychotherapy - economics</topic><topic>Referral and Consultation - economics</topic><topic>Rehabilitation, Vocational - economics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jacobs, Durand F.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jacobs, Durand F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits</atitle><jtitle>Journal of clinical psychology</jtitle><addtitle>J. Clin. Psychol</addtitle><date>1987-11</date><risdate>1987</risdate><volume>43</volume><issue>6</issue><spage>729</spage><epage>735</epage><pages>729-735</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><abstract>Four naturalistic time‐series studies contrasted adult male patients' use of hospital and clinic resources before and after their involvement in psychologist‐directed programs of stress management, pain control, vocational rehabilitation, and coping skill training. Six months after biofeedback training, utilization rates for hospital days and clinic visits dropped 72% and 63%, respectively. One‐year follow‐ups showed that graduates of two vocational rehabilitation programs had reduced hospital days by 81 to 89% and clinic visits by 23 to 41%. After 1 year, graduates of an inpatient chronic pain program reduced former levels of hospital and clinic utilization by 72% and 50%, respectively. Three years later, hospital days of former pain patients remained 47% less than pretreatment, while clinic visits rose to pretreatment levels. Estimated medical cost‐offsets from the four programs exceeded $7 million.</abstract><cop>Brandon</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>3121677</pmid><doi>10.1002/1097-4679(198711)43:6<729::AID-JCLP2270430615>3.0.CO;2-Z</doi><tpages>7</tpages></addata></record>
fulltext	fulltext
identifier	ISSN: 0021-9762
ispartof	Journal of clinical psychology, 1987-11, Vol.43 (6), p.729-735
issn	0021-9762 1097-4679
language	eng
recordid	cdi_proquest_miscellaneous_77878936
source	MEDLINE; Education Source; Wiley Online Library Journals Frontfile Complete
subjects	Adult Biofeedback, Psychology California Chronic Disease Cost-Benefit Analysis Hospitalization - economics Humans Length of Stay - economics Male Pain Management Psychotherapy - economics Referral and Consultation - economics Rehabilitation, Vocational - economics
title	Cost-effectiveness of specialized psychological programs for reducing hospital stays and outpatient visits
url	https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T18%3A17%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cost-effectiveness%20of%20specialized%20psychological%20programs%20for%20reducing%20hospital%20stays%20and%20outpatient%20visits&rft.jtitle=Journal%20of%20clinical%20psychology&rft.au=Jacobs,%20Durand%20F.&rft.date=1987-11&rft.volume=43&rft.issue=6&rft.spage=729&rft.epage=735&rft.pages=729-735&rft.issn=0021-9762&rft.eissn=1097-4679&rft_id=info:doi/10.1002/1097-4679(198711)43:6%3C729::AID-JCLP2270430615%3E3.0.CO;2-Z&rft_dat=%3Cproquest_cross%3E77878936%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77878936&rft_id=info:pmid/3121677&rfr_iscdi=true