Ronald A Remick1, Yuriko Araki2, Robin Bruce3, Chris Gorman4, Judy Allen5, Abigail K Remick6, Scott A Lear7. 1. Medical Director, Mood Disorders Association of British Columbia Psychiatric Urgent Care Program, Vancouver, British Columbia. 2. Director of Research and Development, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia. 3. Research Assistant, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia. 4. Cofounder, Mood Disorders Association of British Columbia Psychiatric Urgent Care Program; Vancouver, British Columbia; Director, Psychiatric Outpatient Services, Department of Psychiatry, St Paul's Hospital, Vancouver, British Columbia. 5. Consultant Psychiatrist, Mood Disorders Association of British Columbia Psychiatric Urgent Care Program, Vancouver, British Columbia. 6. Research Associate, Mood Disorders Association of British Columbia Psychiatric Urgent Care Program, Vancouver, British Columbia. 7. Professor, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia; Member, Division of Cardiology, Providence Health Care, Vancouver, British Columbia.
Abstract
OBJECTIVE: To describe an alternative model of psychiatric outpatient care for patients with mood and anxiety disorders (the Mood Disorders Association of British Columbia Psychiatric Urgent Care Program or the MDA Program) using group medical visits (GMV) and (or) email communications in lieu of individual follow-up appointments. METHOD: Annual costs of the MDA Program were compared with average costs of private psychiatrists offering outpatient care and patients being treated in a mental health centre. In addition, questionnaires as to patient satisfaction with the MDA Program intake, GMV experience, and family physician satisfaction with the MDA Program were administered. RESULTS: The MDA Program model of care is significantly more cost effective than individual psychiatric outpatient care or health authority mental health centre care for patients with moderate or severe illness. Patients and family physicians were very satisfied with the model of care and GMVs offered. CONCLUSIONS: The MDA Program model of care appears to be efficient and cost-effective, and patients and referring physicians appear satisfied with the care offered in this program.
OBJECTIVE: To describe an alternative model of psychiatricoutpatient care for patients with mood and anxiety disorders (the Mood Disorders Association of British Columbia Psychiatric Urgent Care Program or the MDA Program) using group medical visits (GMV) and (or) email communications in lieu of individual follow-up appointments. METHOD: Annual costs of the MDA Program were compared with average costs of private psychiatrists offering outpatient care and patients being treated in a mental health centre. In addition, questionnaires as to patient satisfaction with the MDA Program intake, GMV experience, and family physician satisfaction with the MDA Program were administered. RESULTS: The MDA Program model of care is significantly more cost effective than individual psychiatricoutpatient care or health authority mental health centre care for patients with moderate or severe illness. Patients and family physicians were very satisfied with the model of care and GMVs offered. CONCLUSIONS: The MDA Program model of care appears to be efficient and cost-effective, and patients and referring physicians appear satisfied with the care offered in this program.
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