PMID- 18083268
OWN - NLM
STAT- MEDLINE
DCOM- 20080624
LR  - 20191210
IS  - 0168-8510 (Print)
IS  - 0168-8510 (Linking)
VI  - 86
IP  - 2-3
DP  - 2008 May
TI  - When costs count: the impact of staff size, skill mix and treatment intensity on 
      patient outcome for psychotherapeutic day treatment programmes.
PG  - 255-65
AB  - 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.
FAU - Halsteinli, Vidar
AU  - Halsteinli V
AD  - SINTEF Health Research, N-7465 Trondheim, Norway. vidar.halsteinli@sintef.no
FAU - Karterud, Sigmund
AU  - Karterud S
FAU - Pedersen, Geir
AU  - Pedersen G
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20080220
PL  - Ireland
TA  - Health Policy
JT  - Health policy (Amsterdam, Netherlands)
JID - 8409431
MH  - Adult
MH  - *Clinical Competence
MH  - *Day Care, Medical
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - National Health Programs
MH  - Norway
MH  - *Outcome Assessment, Health Care
MH  - *Personnel Staffing and Scheduling
MH  - Psychotherapy/*economics
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
EDAT- 2007/12/18 09:00
MHDA- 2008/06/25 09:00
CRDT- 2007/12/18 09:00
PHST- 2007/06/19 00:00 [received]
PHST- 2007/10/22 00:00 [revised]
PHST- 2007/10/29 00:00 [accepted]
PHST- 2007/12/18 09:00 [pubmed]
PHST- 2008/06/25 09:00 [medline]
PHST- 2007/12/18 09:00 [entrez]
AID - S0168-8510(07)00252-7 [pii]
AID - 10.1016/j.healthpol.2007.10.013 [doi]
PST - ppublish
SO  - Health Policy. 2008 May;86(2-3):255-65. doi: 10.1016/j.healthpol.2007.10.013. 
      Epub 2008 Feb 20.