What question did this study set out to answer?

To compare the quality of schizophrenia treatment, service utilization, and patient outcomes between the Department of Veterans Affairs and state or local health care systems.

April 1, 2000The Journal of Nervous and Mental Disease

Benchmarking Treatment of Schizophrenia

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To compare the quality of schizophrenia treatment, service utilization, and patient outcomes between the Department of Veterans Affairs and state or local health care systems.
Conducted a cross-sectional survey between 1994 and 1996 of 746 male patients diagnosed with schizophrenia in two Southeast and Midwest states.
Compared 192 VA inpatients against 96 non-VA inpatients, and 274 VA outpatients against 184 non-VA outpatients.
Evaluated clinical status, provider satisfaction, community adjustment, and concordance with 26 Schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations.
Clinical status, provider satisfaction, and community adjustment measures did not differ significantly between VA and non-VA patient groups.
VA outpatients had higher rates of hospitalization in the prior year and significantly less utilization of day hospital programs, crisis intervention, or case management services than non-VA outpatients.
VA care exhibited lower adherence on 5 of 26 PORT recommendations, with 4 reflecting reduced access to community psychosocial services including job training and work therapy.

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Implication

Cross-sectional survey reveals higher hospitalization and lower psychosocial service access in Veterans Affairs schizophrenia care, indicating reliance on inpatient over community models.

Cite This Study

Rosenheck et al. (2000) studied this question.

synapsesocial.com/papers/6a182f77cf49e78c48b4e754 https://doi.org/10.1097/00005053-200004000-00003

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Implication

Cross-sectional survey reveals higher hospitalization and lower psychosocial service access in Veterans Affairs schizophrenia care, indicating reliance on inpatient over community models.

Benchmarking Treatment of Schizophrenia

Key Points

Discussion

Implication

Cite This Study

Benchmarking Treatment of Schizophrenia

Key Points

Discussion

Implication

Cite This Study

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