[Assessment of therapy outcome within the scope of quality assurance in a psychiatric clinic. A report of experiences].
A recent modification of German law requires quality assurance of inpatient treatment, i.e., of the quality of therapy, allowing comparison of different hospitals. In this paper a program developed to assess the outcome by means of international, frequently applied psychopathometric scales is presented. This program was evaluated in a study of 258 psychiatric inpatients. This study emphasized the identification of patients with long-term hospitalization and/or worse outcome. A concept to disclose these so-called 'problematic' patients by means of easily administered scales like the SCL90-R, GAF and WHO-Disability-Diagnostic-Scale (DDS) has been developed. Patients with a very long hospital stay (> 70 days) show a higher number and more severe symptoms in the self-rating (SCL90-R) at admission than the subjects with a short hospital stay. This pilot study demonstrated that a routine outcome analysis can be used for quality management in psychiatry.
Wetterling
T
T
Klinik für Psychiatrie, Medizinische Universität zu Lübeck.
Junghanns
K
K
Müssigbrodt
H
H
Freyberger
H J
HJ
Dilling
H
H
D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany; D006801:Humans; D007902:Length of Stay / Q000331:legislation & jurisprudence*; D008134:Long-Term Care / Q000331:legislation & jurisprudence; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000534:rehabilitation*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*; D016896:Treatment Outcome