| Autor: |
Kölch MG; Dept. for Child and Adolescent Psychiatry, Neurology, Psychosomatics and Psychotherapy, Rostock., Klein M; Centre for Psychiatry, Klinikum Schloss Winnenden., Knebusch V; Forum für Gesundheitswirtschaft gGmbH/e. V., Bremen., Deister A; Centre for Psychosocial Medicine, Klinikum Itzehoe., Heuft G; Section for Psychosomatic Medicine and Psychotherapy, University Hospital Münster (UKM)., Sauter D; Centre for Psychiatry Südwürttemberg, University of Ulm., Brückner-Bozetti P; Forum für Gesundheitswirtschaft gGmbH/e. V., Bremen. |
| Jazyk: |
angličtina |
| Zdroj: |
Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie [Z Kinder Jugendpsychiatr Psychother] 2021 Mar; Vol. 49 (2), pp. 124-133. Date of Electronic Publication: 2020 Dec 17. |
| DOI: |
10.1024/1422-4917/a000780 |
| Abstrakt: |
Objective: An initiative by scientific societies of psychiatry, child and adolescent psychiatry, psychosomatic medicine, and further associations established the Platform-Model for the development of a needs-based system for adequate personnel allocation in psychiatric inpatient and day clinic units. We present the development of the instrument and a pilot study to identify feasibility and limitations. Methods: The basis of the study was a threefold methodological approach. Paradigmatic case vignettes adequately reflecting symptomatology and circumstances were described and validated, working profiles were generated and validated, and a matrix representing different needs-based dimensions was developed. Through reference date surveys, patients were assigned to needs-based clusters and Psych-PV categories. The required treatment effort under consideration of guidelines or expert consensus was estimated in several rounds of expert panels (Delphi method). Results: The pilot study proves the feasibility of the Platform-Model . Methodological findings as well as limitations of the model were identified in order to further develop the Platform-Model. Conclusions: The Platform-Model cannot serve as a tool to describe clinical pathways, but it appears to be an adequate and practical tool for assessment of the required staffing level based on patient needs independent of diagnosis and setting. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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