Psychiatrie-Personalverordnung: Qualitätsoptimierung der stationären Versorgung

Kunze, Heinrich

doi:10.1007/978-3-7091-9386-0_7

Cited by 10 publications

(11 citation statements)

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“…1. Die Zusammensetzung des Mitarbeiterpools ist recht heterogen und nur locker mit den Vorgaben der Kategorien A/G/S 6 der deutschen PsychPV [19] assoziiert. Das sehr differenzierte Therapieangebot mit hohen psychotherapeutischen und sozialtherapeutischen Standards erfordert höhere Fachkompetenz.…”

Section: Ergebnisseunclassified

Merkmale und Praxis psychiatrischer Tageskliniken in Deutschland

Hopf¹,

Diebels²

2017

Psychiat Prax

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In 2014 the growing number of psychiatric Day-Clinics was surveyed for standards in facilities, organisation and therapy details. By the huge number of Day-Clinics there should be given some evidence for best practice. With a self-made questionnaire all 676 Day-Clinics were extensively interviewed. The results were evaluated for frequency, mean value and correlations. Relevant data is now available for duration, organisation and intensity of treatment, room and personnel. Also some Day-Clinical specifics can be shown with effects on financial support. On the basis of the current good clinical practice recommendations for existing or new established Day-Clinics can be developed.

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Section: Ergebnisseunclassified

Merkmale und Praxis psychiatrischer Tageskliniken in Deutschland

Hopf¹,

Diebels²

2017

Psychiat Prax

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“…Aus ökonomischer Sicht bedeuten ¹Inputª-Variablen Geld in Form von Geldmengen, Personalzeiten (¹Mann-/Frauminutenª) und Sachmitteln. Das wurde bereits von der ¹Psychiatrie-Personalverordnungª für stationäre psychiatrische Einrichtungen festgelegt und auch bereits auf den ambulant-komplementären psychiatrischen Bereich übertragen [4]. Der ¹Outputª wird in Ergebnismaûen (Effektvariablen) in Form von Besserung des Gesundheitszustandes, Verweildauer, Heilungsraten (Abstinenzraten), Schwere und Latenz des Rückfalls, (Re-)Hospitalisierungsraten der Entlassenen, Anzahl der Verstorbenen, Patientenzufriedenheit, Lebensqualität und auch Komplikationsraten bei den jeweiligen Krankheiten dargestellt.…”

Section: Grundfragen Der Analyse Von Versorgungssystemenunclassified

Ansätze zur Systemanalyse der Suchthilfe

Tretter

Sonntag²

2001

Gesundheitswesen

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The aim to calculate the functions of health care also considers the care system for addicts. The scientific basis of these intentions are organizational analyses, health economy and systems analysis. Those approaches however do not fit well into quality assessments of care systems for people with psychic problems. Especially the functions and the structure of the health care system for addicts are of considerable heterogeneity and complexity. These features represent a great methodological challenge for systems analysis. Already the causal analysis of essential parameters like the number of drug deaths depends on so many variables, so that it cannot be ascertained that any particular intervention has a specific definite effect on drug mortality. Besides, the waiting period for withdrawal facilities is determined by many factors. Hence, unique measures of addiction policies probably do not have essential effects. On the contrary, waiting periods of few days lead to a higher occurrence of drop-outs at detoxification programmes. For the future, in order to obtain quantitative functional analysis of the addiction care system research projects have to be designed based on a unification of the documentary systems which help to better understand the flow of patients.

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“…In the period preceding the Psych-PV, the number of beds was reduced from 117 000 in 1970 to 86 800 in 1988. By 1995, it had declined to 55 300 (Old La« nder of FRG), a fall roughly equivalent to the previous period (Ro« ssler & Salize, 1996; Bundesministerium, 1997; Kunze & Kaltenbach, 2003). However, while psychiatric beds decreased, the number of psychotherapeutic/ psychosomatic beds rose from almost zero in the 1970s to 3200 for treatment and 15 400 for rehabilitation in 2001 (Statistisches Bundesamt, 2003).…”

Section: The Implementation Of Psych-pvmentioning

confidence: 99%

“…The federal staffing directive for in-patient and day care was passed in 1990 (Kunze & Kaltenbach, 2003). Previous standards for staffing levels in mental hospitals dated back to 1969 and were very low.…”

mentioning

confidence: 99%

Reform of psychiatric services in Germany: hospital staffing directive and commissioning of community care

Kunze¹,

Becker

Priebe

2004

Psychiatr. bull.

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The German mental health care system differs significantly from the system in the UK. There is no central organisation with overall responsibility as in the National Health Service (NHS), and the government is not entitled to prescribe details of policy or set specific targets. It can only determine the legal framework, define general goals and, with difficulties, influence the spending level. Responsibilities for mental health care, as for other fields of health care, are shared between federal authorities, the 16 states (Lander), local authorities, and semi-statutory organisations, which govern out-patient health care provided by psychiatrists in office-based practices. Virtually every citizen is health-insured and there is free access to health care for those who have no insurance coverage, in which case social services usually cover the costs. Social services also directly fund various services in the community. The fragmented system can be difficult to comprehend. However, many of the challenges are similar to those in other countries, and policy makers and practitioners elsewhere might be interested to know some of the lessons learnt in the German system.

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Psychiatrie-Personalverordnung: Qualitätsoptimierung der stationären Versorgung

Cited by 10 publications

References 0 publications

Merkmale und Praxis psychiatrischer Tageskliniken in Deutschland

Merkmale und Praxis psychiatrischer Tageskliniken in Deutschland

Ansätze zur Systemanalyse der Suchthilfe

Reform of psychiatric services in Germany: hospital staffing directive and commissioning of community care

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