Leistungsdokumentation durch Therapieeinheiten bei stationär behandelten Menschen mit dementieller Erkrankung – erlauben sie Rückschlüsse auf das Leistungsgeschehen? Eine explorative Analyse

Abstract

We demonstrated that the "therapeutic units" of the OPS codes are now used in the routine data (§21 KHEntgG), and that they are able to portray relevant aspects of non-medication therapeutic service. The present study provides a preliminary/exploratory overview on the services provided, mapped by therapeutic units. Future research should focus on the overlap between the category "therapeutic" units and the services actually provided.

Routine Data Indicators of Treatment for Dementia and Old-Age Depression

“…In another study, focusing explicitly on the therapy units for dementia patients, only those patients who had actually received a therapy unit were considered for calculating the average time of the therapy units. In that study, the range was found to lie between 1.7 and 1 therapy units per week with doctors or psychologists, and between 3.2 and 3.8 therapy units per week with nurses and special therapists, depending on the main diagnosis (Löhr et al, 2014). Also, it must be considered that a value beneath 1 therapy unit per week implies that the patient received a therapy unit of approximately 25 minutes every 1.5 weeks in an individual therapy by a doctor or a psychologist.…”

“…Therefore, psychiatric (and somatic) hospitals have seen a considerable increase in dementia-related symptoms like delirium, depressive and delusional syndromes, aggression, tendency to walk off, and reversal of day-night rhythm (Azermai, 2015; Kolbeinson & Jónson, 1993; Lundberg, Gustafsson, Meagher, & Munk-Jørgensen, 2014). A recent study found a period prevalence of 18.6% of psychiatric inpatient cases (> 64 years) with dementia as their main diagnosis (F00, F01, F03) based on routine data from a sample of 35 specialist hospitals, university hospitals, and psychiatric departments (Löhr, 2014). In somatic inpatient settings, patients with dementia play an important role, too, with prevalence rates between 12.3–48.8%.…”