[The amount of professional nursing care in a gerontopsychiatric hospital--comparison of the system of the psychiatry personnel act and the long-term care insurance].
BACKGROUND
Hospital-based gerontopsychiatric wards are located at an important interface within the healthcare system. If home caring needs continue in inpatient settings nursing resources have to be allocated. The amount of work of professional care in a gerontopsychiatric hospital can be calculated by different systems: the system of the long-term care insurance (SGB XI) and the system of the Psychiatry Personnel Act (PsychPV). The aim of the study was to compare both systems regarding their calculation of allocated nursing resources.


METHODS
A comprehensive survey over six months was accomplished in an inpatient department for gerontopsychiatric patients with special wards for dementia, psychosis and depression in older people. Data from the long-term care insurance (SGB XI) and the system of the Psychiatry Personnel Act (PsychPV) were calculated and contrasted.


RESULTS
209 datasets could be included (69.7% of all admitted patients). The long-term care insurance system calculated more needed resources than the Psychiatry Personnel Act, especially for people with dementia.


CONCLUSIONS
Since both systems calculate extremely diverging results, more research is needed to develop valid systems for the measurement and the requirement of nursing resources in gerontopsychiatric hospitals.
Noelle
D R
DR
Evangelisches Krankenhaus Bielefeld, Klinik für Psychiatrie und Psychotherapie Bethel. Ruediger.Noelle@evkb.de
Schulz
M
M
Behrens
J
J
Driessen
M
M
D000368:Aged; D000544:Alzheimer Disease / Q000451:nursing*; D003866:Depressive Disorder / Q000451:nursing*; D004185:Disability Evaluation; D005858:Germany; D006302:Health Services Research; D006778:Hospitals, Psychiatric; D006801:Humans; D007353:Insurance, Long-Term Care; D020380:Needs Assessment; D009741:Nursing Staff, Hospital; D011618:Psychotic Disorders / Q000451:nursing*; D040841:Resource Allocation; D016526:Workload