[PGI-I (patient's global impression) as an outcome and quality indicator of psychiatric in-patient treatment: results and concordance with doctor's assessments].
OBJECTIVE
To examine the Patient Global Impression Scale of Improvement (PGI) as a quality indicator in routine psychiatric in-patient treatment and to determine its concordance with doctors' assessments.


METHODS
Patients treated in 2007 in 5 hospitals and 4 day-clinics were included. A set of patient and treatment characteristics (German BADO) and CGI scales were recorded in all patients. Patients were required to give a PGI rating at discharge.


RESULTS
PGI ratings could be obtained in 70.3 of the patients (N = 3957). PGI and doctors' CGI-I ratings were in agreement with no more than one degree of difference on the 7-point scale of the PGI in 89.8 %. Characteristics of those patients who significantly deviated from the doctors' assessments were determined.


CONCLUSIONS
The PGI scale is appropriate as a quality indicator for routine clinical treatment which can rather easily be obtained.
Steinert
Tilman
T
Zentrum für Psychiatrie Südwürttemberg, Versorgungsforschung Weissenau, Ravensburg. tilman.steinert@zfp-zentrum.de
Eisele
Frank
F
Längle
Gerhard
G
Albani
Cornelia
C
Flammer
Erich
E
Borbé
Raoul
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003631:Day Care, Medical; D005260:Female; D005858:Germany; D015276:Health Care Rationing; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D009313:National Health Programs; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D010351:Patient Discharge; D011569:Psychiatric Status Rating Scales; D019984:Quality Indicators, Health Care; D055815:Young Adult