[Determinants of patient structure according to the psychiatry personnel decree. On the problem of comparing psychiatric clinics].
In Germany psychiatric hospitals are increasingly facing external comparisons with other psychiatric hospitals and departments. The focus of these comparisons often is the constitution of inpatients according to the "Decree of Psychiatric Personnel" (Psychiatrie-Personalverordnung). This report evaluates factors that influence patient categorisation into the treatment categories of the mentioned decree. The analysis yields three sociodemographic factors as significant predictors of a categorisation to the intense-treatment category A2: 1. compulsory admission into the hospital, 2. first ever admission, 3. urban place of residence. Major methodical problems of patient categorisation into categories of the decree are elucidated. The validity of the current approach that chooses four selected qualifying days per year as the basis of representation of the annual patient population in psychiatric hospitals and departments is questioned.
Richter
D
D
Westfälische Klinik für Psychiatrie, Münster.
Berger
K
K
D000328:Adult; D000368:Aged; D003953:Diagnosis-Related Groups / Q000331:legislation & jurisprudence; D005260:Female; D006778:Hospitals, Psychiatric / Q000331:legislation & jurisprudence*; D006801:Humans; D007902:Length of Stay / Q000331:legislation & jurisprudence*; D008297:Male; D001523:Mental Disorders / Q000145:classification* / Q000175:diagnosis / Q000534:rehabilitation; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D010343:Patient Admission / Q000331:legislation & jurisprudence*; D010348:Patient Care Team / Q000331:legislation & jurisprudence