title: [Incidence and Costs of 1:1 Care in Psychiatric Hospitals in Germany - A Descriptive Analysis Based on the VIPP Project Data Set].
abstract: OBJECTIVE
  1:1 care is applied for patients requiring close psychiatric monitoring and care like patients with acute suicidality. The article describes the frequency of 1:1 care across different diagnoses and age groups in German psychiatric hospitals.
  
  
  METHODS
  The analysis was based on the VIPP Project from the years 2011 and 2012. A total of 47 hospitals with more than 120,000 cases were included. Object of the analysis was the OPS code 9-640.0 1:1 care. The evaluation was performed on case level.
  
  
  RESULTS
  Data of 47 hospitals were included. Of the 121,454 cases evaluated in 2011 3.8 % documented a 1:1 care within the meaning of OPS 9-640.0 additional code. Of the 66 245 male cases a 1:1 care was documented in 3.5 % and the 55 207 female cases was 4.1 %. Compared to 2011, the proportion of 1:1 care in 2012 rose to 4.8 %.
  
  
  CONCLUSIONS
  The results show that 1:1 care is frequently applied in German psychiatric hospitals. The Data of the VIPP project have proven to be a useful tool to gain information on the frequency of cost-intensive interventions in German psychiatric hospitals. Further analyses should create the possibility of evaluation at the level of the individual codes.
authors: LWL-Klinikum Gütersloh.
authors: André
authors: A
authors: Nienaber
authors: Fachhochschule der Diakonie Bielefeld.
authors: Michael
authors: M
authors: Schulz
authors: Fachhochschule der Diakonie Bielefeld.
authors: Rüdiger
authors: R
authors: Noelle
authors: Klinik für Seelische Gesundheit im Alter und Verhaltensmedizin, Alexianer St. Joseph Krankenhaus, Berlin-Weißensee.
authors: Hauke Felix
authors: HF
authors: Wiegand
authors: Klinik für Psychiatrie und Psychotherapie der Universitätsmedizin Göttingen.
authors: Claus
authors: C
authors: Wolff-Menzler
authors: Klinik für Psychiatrie und Psychotherapie der Universitätsmedizin Göttingen.
authors: Sibylle
authors: S
authors: Häfner
authors: KBO-Lech-Mangfall-Kliniken, Garmisch-Partenkirchen.
authors: Florian
authors: F
authors: Seemüller
authors: Klinik für Seelische Gesundheit im Alter und Verhaltensmedizin, Alexianer St. Joseph Krankenhaus, Berlin-Weißensee.
authors: Frank
authors: F
authors: Godemann
authors: Fachhochschule der Diakonie Bielefeld.
authors: Michael
authors: M
authors: Löhr
mesh_terms: D000328:Adult; D000067289:Behavior Observation Techniques / Q000191:economics* / Q000706:statistics & numerical data*; D003419:Crisis Intervention / Q000191:economics* / Q000706:statistics & numerical data; D003625:Data Collection / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D038801:International Classification of Diseases / Q000191:economics / Q000706:statistics & numerical data; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D009313:National Health Programs / Q000191:economics* / Q000706:statistics & numerical data*; D061214:Patient Safety / Q000191:economics / Q000706:statistics & numerical data; D012051:Reimbursement Mechanisms / Q000191:economics / Q000706:statistics & numerical data; D013405:Suicide / Q000191:economics / Q000523:psychology; D014600:Utilization Review / Q000191:economics / Q000706:statistics & numerical data; D000092864:Suicide Prevention