[Effective use of time in community psychiatry--utopia and the reality of network management].
OBJECTIVE
The development of community psychiatry needs an increasing network management between inpatient and outpatient care. As a whole the question of management structure is open for discussion. Instruments such as psychosocial workshops and community psychiatric team conferences are in need of a critical survey.


METHODS
Our paper offers data in basic network management referring to false connections in interinstitutional cooperation by phone.


RESULTS
The number of false connections is on a highly significant level, up to six times higher when contacting ambulant complementary staffs or administrative levels than within medical systems.


CONCLUSIONS
These results demonstrate a large gap between utopia and reality of network management. Community psychiatric systems must take care for longitudinal medical staff orientation in structural management.
Semmler
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Arzt für Neurologie und Psychiatrie-Psychotherapie Ltd. Arzt der tages- und nachtklinischen Abteilung für Psychiatrie Rosenheim des BKH Gabersee, Rosenheim.
D019090:Case Management / Q000458:organization & administration / Q000639:trends; D019058:Community Networks / Q000458:organization & administration* / Q000639:trends*; D003158:Community Psychiatry / Q000458:organization & administration* / Q000639:trends*; D006801:Humans; D019451:Information Management / Q000458:organization & administration / Q000639:trends; D007297:Inpatients; D010045:Outpatients; D015397:Program Evaluation