[Mental health services research: trends in psychiatric inpatient care from 1996 up to 2006].
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.
Hübner-Liebermann
Bettina
B
Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie der Universität am Bezirksklinikum Regensburg, Regensburg. bettina.huebner-liebermann@medbo.de
Hajak
Göran
G
Spiessl
Hermann
H
D000367:Age Factors; D000374:Aggression / Q000523:psychology; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005858:Germany; D006302:Health Services Research / Q000639:trends*; D006760:Hospitalization / Q000639:trends*; D006778:Hospitals, Psychiatric / Q000639:trends; D006801:Humans; D007902:Length of Stay / Q000639:trends; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008605:Mental Health Services / Q000639:trends*; D010352:Patient Dropouts / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000009:adverse effects; D011785:Quality Assurance, Health Care / Q000639:trends; D012017:Referral and Consultation / Q000639:trends; D012149:Restraint, Physical / Q000706:statistics & numerical data; D012737:Sex Factors; D013405:Suicide / Q000639:trends; D013406:Suicide, Attempted / Q000639:trends; D016896:Treatment Outcome
D011619:Psychotropic Drugs