[From applied psychosomatic medicine to integrated medicine - experiences with the Steglitz allocated bed model].
Changes in the German hospital system like the introduction of the DRG compensation system suggest the usefulness of considering the modification of inpatient psychosomatic treatment options. Patients in a university hospital underwent diagnosis-related psychosomatic treatment in the wards of other departments after instituting the allocated bed model. The report presented here points out chances and risks of such a change. First psychodiagnostic assessments indicate a significant improvement of symptoms in these patients. Despite the overall positive result obtained thus far, the institutional and administrative framework conditions for such a change should be carefully considered and further evaluated.
Deter
Hans-Christian
HC
Universitätsklinikum Benjamin Franklin, Abteilung für Psychosomatik und Psychotherapie, Berlin. deter@medizin.fu-berlin.de
Weber
Cora
C
Adolph
Dirk
D
Stehle
Sabine
S
Blum
Brigitta
B
Martienssen
Renate
R
Kallenbach
Bettina
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D019033:Delivery of Health Care, Integrated; D003953:Diagnosis-Related Groups; D005260:Female; D005858:Germany; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000628:therapy*; D011611:Psychosomatic Medicine; D040841:Resource Allocation; D012959:Socioeconomic Factors