Tätigkeiten ohne Patientenkontakt

Abstract

The aim of this pilot study was to estimate the share of working time that staff in psychiatric hospitals theoretically spend on obligatory activities, such as training and further education, organizational and documentation tasks as well as statutory lecturing duties without patient contact. A total of 47 physicians, 39 nurses, 34 psychologists and 35 social workers from eight psychiatric hospitals were interviewed. The results reveal that the theoretically remaining time for direct patient contact is low. The ratio of time spent with versus time spent without patient contact was even worse for senior physicians and leading nurses as well as part-time employees; however, all activities without direct contact to patients seemed to be indispensable in terms of quality of treatment and care. Hence, employees in German psychiatric hospitals regularly have to make decisions on which of their duties they prefer to neglect, to which they are actually obligated.

Implementierung eines globalen Behandlungsbudgets in der Psychiatrie – Welche Anreize, Voraussetzungen und Herausforderungen gibt es?

“…3-6 % aller psychiatrischen Fälle prüft, ist von einem erheblichen Aufwand zur Bearbeitung dieser Anfragen in der Regelversorgung auszugehen [33]. Blume et al [34] konnten zeigen, dass MA psychiatrischer Kliniken in Deutschland zwischen 14-31 % ihrer Arbeitszeit für administrative Tätigkeiten (inkl. Beantwortung von MDK-Anfragen) aufwenden.…”