Citation

Hübner-Liebermann B, Hajak G, Spiessl H. Psychiatr. Prax. 2008; 35(8): 387-391.

Vernacular Title

Versorgungsepidemiologie: Entwicklung in der stationar-psychiatrischen Versorgung

Affiliation

Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie der Universität am Bezirksklinikum Regensburg, Regensburg. bettina.huebner-liebermann@medbo.de

Copyright

(Copyright © 2008, Georg Thieme Verlag)

DOI

10.1055/s-0028-1090029

PMID

19016213

Abstract

OBJECTIVE: To survey relevant markers of psychiatric inpatient care. METHODS: Data of the German psychiatric basic documentation system (DGPPN-BADO) of 52 124 inpatients, consecutively admitted to the psychiatric state hospital affiliated to the University of Regensburg from 1996 to 2006, were examined. RESULTS: The diagnosis-spectrum has changed towards patients with affective, neurotic, and personality disorders along with an increasing number of patients without any medical sending. According to the patients' overall psychosocial functioning (GAF) and clinical global impression (CGI) statistically significant changes have been found, however, without having an effective meaning. Critical events like mechanical restraints and psychopharmacological therapy-resistance decreased. The length of stay decreased from 36 to 26 days. CONCLUSIONS: Obviously, psychiatric inpatient care has gained effectiveness. An effectively meaningful and measurable loss of quality could not be detected until now.

Language: de