Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-23T16:09:54.542Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychiatric case registers for monitoring service utilisation and evaluating its costs

Published online by Cambridge University Press:  07 July 2014

Francesco Amaddeo ,
Paola Bonizzato  and
Michele Tansella
Francesco Amaddeo
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Ospedale Policlinico, 37134 Verona, Italy
Paola Bonizzato
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Ospedale Policlinico, 37134 Verona, Italy
Michele Tansella
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Ospedale Policlinico, 37134 Verona, Italy
Get access

Extract

Psychiatric case registers are systematic health information systems of a geographically delimited area that record the contacts with designated medical and social services of patients or clients from the area. The information is stored in a linked and cumulative file so that the care of any individual or group can be followed over time, no matter how complex the pattern of service attendance (Wing, 1989). They represent the evolution of older systems for recording data of clinical relevance, such as disease registers to which hospitals and physicians used to report all cases of a certain diagnosis and hospital-based registers, which in general are based on aggregate data concerning patients who received care by a particular hospital or clinic (Häfner & an der Heiden, 1986).

Bennett & Trute (1983) pointed out that the term “information” has substantially wider connotations than the term “data”. In order to become “information”, data have to be placed within a framework and interpreted. This is true for all medical information systems, including those that collect limited data set, such as those about births, deaths, admissions to hospital, etc. (Wing, 1986).

A WHO Working Group held in Mannheim provided an agreed definition of a Psychiatric Case Register (PCR) which resulted in the following: “a Psychiatric Case Register is a patient-centered longitudinal record of contacts with a defined set of psychiatric services, originating from a defined population” (WHO, 1983).

Type
Section C: Evaluating the Costs of Mental Health Services
Information
Epidemiologia e psichiatria sociale. Monograph Supplement , Volume 6 , Issue S1: Monograph Supplement 1: Making Rational Mental Health Services , April 1997 , pp. 177 - 198
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amaddeo, F., Gater, R., Goldberg, D. & Tansella, M. (1995a). Affective and neurotic disorders in community-based services: a comparative study in South Verona and South Manchester. Acta Psychiatrica Scandinavica 91, 386–395.Google Scholar
Amaddeo, F., Bisoffi, G., Bonizzato, P., Micciolo, R. & Tansella, M. (1995b). Mortality among patients with psychiatric illness. A ten-year case register study in an area with a community-based system of care. British Journal of Psychiatry 166, 783–788.CrossRefGoogle Scholar
Amaddeo, F., Bonizzato, P., Rossi, F., Beecham, J., Knapp, M.R.J. & Tansella, M. (1995c). La valutazione dei costi delle malattie mentali in Italia. Sviluppo di una metodologia e possibili applicazioni. Epidemiologia e Psichiatria Sociale 4, 145–162.Google Scholar
Amaddeo, F., Beecham, J., Bonizzato, P., Fenyo, A., Knapp, M.R.J. & Tansella, M. (in press). The use of a case register to evaluate the costs of psychiatric care. Acta Psychiatrica Scandinavica.Google Scholar
Amaddeo, F., Beecham, J., Bonizzato, P., Fenyo, A., Tansella, M. & Knapp, M.R.J. (submitted for publication). The costs of community-based psychiatric care for first-ever patients. A case register study.Google Scholar
Balestrieri, M., Micciolo, R. & Tansella, M. (1987). Long-stay and long-term psychiatric patients in an area with a community-based system of care: a register follow-up study. International Journal of Social Psychiatry 33, 251–262.Google Scholar
Balestrieri, M., Sytema, S., Gavioli, I. & Micciolo, R. (1989). Patterns of psychiatric care in South-Verona and Groningen. A case-register follow-up study. Acta Psychiatrica Scandinavica 80, 437–444.Google Scholar
Balestrieri, M., Micciolo, R., De Salvia, D. & Tansella, M. (1992). Confronti e prospettive nella utilizzazione dei registri psichiatrici dei casi. Epidemiologia e Psichiatria Sociale 1, 133–148.CrossRefGoogle Scholar
Beecham, J. (1995). Collecting and estimating costs. In The Economic Evaluation of Mental Health Care (ed. Knapp, M.R.J.). Arena: Alderhot.Google Scholar
Beecham, J. & Knapp, M.R.J. (1992). Costing psychiatric interventions. In Measuring Mental Health Needs. (ed. Tornicroft, G, Brewin, C. and Wing, J.), pp. 163–183. Oxford University Press: Oxford.Google Scholar
Bennett, E.M. & Trute, B. (ed.) (1983). Mental Health Information Systems: Problems and Prospects, Edwin Mellen Press: Toronto.Google Scholar
Burti, L. & Tansella, M. (1995). Acute home-based care and community psychiatry. In Emergency Mental Health Services in the Community (ed. Phelan, M., Strathdee, G. and Thornicroft, G.), pp. 276–297. Cambridge University Press: Cambridge.CrossRefGoogle Scholar
Gater, R., Amaddeo, F., Tansella, M., Jackson, G. & Goldberg, D. (1995). A comparison of community based care for schizophrenia in South Verona and South Manchester. British Journal of Psychiatry 166, 344–352.Google Scholar
Häfner, H. & an der Heiden, W. (1986). The contribution of European case registers to research on schizophrenia. Schizophrenia Bulletin 12, 26–51.CrossRefGoogle ScholarPubMed
Knapp, M.R.J. (ed.) (1995a). The Economic Evaluation of Mental Health Care. Arena: Adershot.Google Scholar
Knapp, M.R.J. (1995b). Evaluating cost-effectiveness in mental health care. Epidemiologia e Psichiatria Sociale 4, 11–13.Google Scholar
Munk-Jørgensen, P. & Tansella, M. (1986). Hospital and community based psychiatry. A comparative study between a Danish and an Italian psychiatric service. International Journal of Social Psychiatry 32 (2), 615.Google Scholar
Percudani, M., Fattore, G., Strada, L. & Contini, A. (1995). La valutazione dei costi diretti ed indiretti della depressione maggiore: applicazione di una metodologia di indagine in un servizio psichiatrico pubblico. Epidemiologia e Psichiatria Sociale 3, 198–211.Google Scholar
Ruggeri, M. & Tansella, M. (1996). Individual patient outcomes. In Mental Health Service Evaluation (ed. Knudsen, H.C. and Thornicroft, G.), pp. 281–295. Cambridge University Press: Cambridge.CrossRefGoogle Scholar
Sytema, S., Balestrieri, M., Giel, R., ten Horn, G.H.M.M. & Tansella, M. (1989). Use of mental health services in South-Verona and Groningen. A comparative case-register study. Acta Psychiatrica Scandinavica 79, 153–162.Google Scholar
Sytema, S., Micciolo, R. & Tansella, M. (submitted for publication). Continuity of care for patients with schizophrenia and related disorders: a comparative South-Verona and Groningen case-register study.Google Scholar
Tansella, M. (ed.) (1991). Community-based Psychiatry: Long-term patterns of Care in South-Verona. Psychological Medicine Monograph Supplement 19, Cambridge University Press: Cambridge.Google Scholar
Tansella, M. & Amaddeo, F. (1996). Data from the South-Verona Psychiatric Case Register. Unpublished Report. University of Verona, Verona.Google Scholar
Tansella, M. & Micciolo, R. (submitted for publication). Unplanned first contact as a predictor of future intensive use of mental health services.Google Scholar
Tansella, M. & Ruggeri, M. (1996). Monitoring and evaluating a community-based service: the epidemiological approach. In The Scientific Basis of Health Services (ed. Smith, R. and Peckham, M.), pp. 160–169. British Medical Journal Publishing Group: London.Google Scholar
Tansella, M., Micciolo, R., Balestrieri, M. & Gavioli, I. (1986). High and long-term users of the mental health services: a case-register study in Italy. Social Psychiatry 21, 96–103.Google Scholar
Tansella, M., Bisoffi, G. & Thornicroft, G. (1993). Are social deprivation and psychiatric service utilization associated in neurotic disorders? A case-register study in South-Verona. Social Psychiatry and Psychiatric Epidemiology 28, 225–230.Google Scholar
Tansella, M., Micciolo, R., Biggeri, A., Bisoffi, G. & Balestrieri, M. (1995). Episodes of care in first-ever psychiatric patients. A long-term case-register evaluation in a mainly urban area. British Journal of Psychiatry 167, 220–227.Google Scholar
Thornicroft, G., Bisoffi, G., De Salvia, D. & Tansella, M. (1993). Urban-rural differences in the associations between social deprivation and psychiatric service utilization in schizophrenia and all diagnoses. A case-register study in Northern Italy. Psychological Medicine 23, 487–496.Google Scholar
Williams, P., Balestrieri, M. & Tansella, M. (1987). Seasonal variations in affective disorders: a case-register study. Journal of Affective Disorders 12, 145–152.Google Scholar
Wing, J.K. (1986). Epidemiological research using psychiatric case registers. In Psychiatric Case Registers in Public Health (ed. ten Horn, G.H.M.M., Giel, R., Gulbinat, W.H. and Henderson, J.H.), pp. 14–25, Elsevier: AmsterdamGoogle Scholar
Wing, J.K. (1989). Introduction to the registers and plan of the book. In Health Services Planning and Research (ed. Wing, J.K.), pp. 3–9. Royal College of Psychiatrists: London.Google Scholar
Wing, J.K. (1996). Research designs for the evaluation of services. In: Mental Health Service Evaluation (ed. Knudsen, H.C. and Thornicroft, G.), pp. 37–49. Cambridge University Press: Cambridge.Google Scholar
World Health Organization (1983). Psychiatric Case Registers. Report on a Working Group. WHO, Regional Office for Europe: Copenhagen.Google Scholar