title: [Manpower requirements for medical doctors in psychiatric departments of community hospitals--bottom-up calculation for the psychiatric department of Donauspital in Vienna].
abstract: BACKGROUND
  Clinical psychiatry changed dramatically in the past 30 years. Clinical challenges are very different from those in old mental hospitals. Psychotherapy and sociotherapy are effective but very time-consuming parts of treatments of nearly every psychiatric disorder. Planning of staff resources based on the German "Psychiatrie Personalverordnung" does not match with modern quality requirements. As a result, the standards of evidence-based treatment cannot be offered to severely mentally ill inpatients.
  
  
  METHODS
  We carried out a buttom-up calculation of medical staffing for the concrete patients considering diagnosis, and length of stay of the psychiatric department of the Danube hospital in Vienna 2013 and 2014. This is an 80 bed unit responsible for an area of 250,000 inhabitants, providing about 1100 admissions each year.
  
  
  RESULTS
  The calculated yearly sum of working hours for medical doctors in the particular department was 39,527. When considering a net working-time of 80%, the actual number of medical staff should be at least doubled to allow psychiatric treatment according to current guidelines.
  
  
  CONCLUSIONS
  Severely ill psychiatric patients seem to be undertreated because of low staffing of psychiatric departments.
authors: Department für Psychiatrie, Forschungsgesellschaft Donaustadt, Langobardenstraße 122, 1220, Wien, Österreich. p.fischer@wienkav.at.|Arbeitsgruppe Psychiatrie im Allgemeinkrankenhaus, Österreichische Gesellschaft für Psychiatrie und Psychotherapie, Wien, Österreich. p.fischer@wienkav.at.
authors: Peter
authors: P
authors: Fischer
authors: Department für Psychiatrie, Forschungsgesellschaft Donaustadt, Langobardenstraße 122, 1220, Wien, Österreich.
authors: Sören
authors: S
authors: Hanak
authors: Department für Psychiatrie, Forschungsgesellschaft Donaustadt, Langobardenstraße 122, 1220, Wien, Österreich.
authors: Beate
authors: B
authors: Wally
authors: Arbeitsgruppe Psychiatrie im Allgemeinkrankenhaus, Österreichische Gesellschaft für Psychiatrie und Psychotherapie, Wien, Österreich.|Abteilung für Erwachsenenpsychiatrie, Universitätsklinikum Tulln, Tulln an der Donau, Niederösterreich, Österreich.
authors: Martin
authors: M
authors: Aigner
mesh_terms: D001317:Austria; D003430:Cross-Sectional Studies; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006764:Hospitals, Community; D006801:Humans; D008505:Medical Staff, Hospital / Q000600:supply & distribution*; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D011567:Psychiatric Department, Hospital; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data; D000078329:Workforce
keywords: Inpatient care; Manpower requirement; Psychiatry; Structural quality