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Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen

Research output: Contribution to journalArticlepeer-review

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Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen. / Wolff, J; Berger, M; Normann, C; Godemann, F; Hauth, I; Klimke, A; Löhr, M.

In: Nervenarzt, 2015.

Research output: Contribution to journalArticlepeer-review

Harvard

Wolff, J, Berger, M, Normann, C, Godemann, F, Hauth, I, Klimke, A & Löhr, M 2015, 'Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen', Nervenarzt. https://doi.org/10.1007/s00115-015-4311-z

APA

Wolff, J., Berger, M., Normann, C., Godemann, F., Hauth, I., Klimke, A., & Löhr, M. (2015). Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen. Nervenarzt. https://doi.org/10.1007/s00115-015-4311-z

Vancouver

Wolff J, Berger M, Normann C, Godemann F, Hauth I, Klimke A et al. Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen. Nervenarzt. 2015. https://doi.org/10.1007/s00115-015-4311-z

Author

Wolff, J ; Berger, M ; Normann, C ; Godemann, F ; Hauth, I ; Klimke, A ; Löhr, M. / Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen. In: Nervenarzt. 2015.

Bibtex Download

@article{2cc78809017b441b8f8f62ec61bc1c87,
title = "Wohin f{\"u}hrt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tats{\"a}chlichen Personalressourcen",
abstract = "BACKGROUND: Staffing regulations have determined the number of qualified staff required for sufficient, appropriate and economical inpatient mental health care in Germany since 1991. This minimum level of structural quality will probably be abolished in the context of the convergence of hospital budgets starting in 2019.AIMS AND OBJECTIVES: The aim of this study was to analyze the current fulfilment of staffing regulations in terms of time per patient in a large nationwide sample.MATERIAL AND METHODS: The required minutes of staff time as defined by staffing regulations were calculated for each patient using the treatment classifications provided by a large nationwide database. The actual use of staff time was calculated on the basis of average costs published by the German Institute for Hospital Reimbursement. Both figures were compared to calculate the fulfilment of staffing regulations.RESULTS: The study included approximately 95,000 inpatient episodes from 46 psychiatric hospitals and departments with a total length of stay of almost 2.5 million days. On average, the weekly use of staff resources per patient was 190 min (10 %) below the requirements of the staffing regulations. The largest gap in absolute terms was found in nursing staff where the weekly time per patient was 189 min (14 %) below the requirements of the staffing regulations.CONCLUSION: The convergence of psychiatric hospital budgets starts in 2019 below a level of funding required to fulfil staffing regulations. This would perpetuate inadequately funded structures and should initially be opposed with a demand for complete fulfilment of staffing regulations. Thereafter, a normative consent should be reached to define the resources required for current inpatient mental health care.",
author = "J Wolff and M Berger and C Normann and F Godemann and I Hauth and A Klimke and M L{\"o}hr",
year = "2015",
doi = "10.1007/s00115-015-4311-z",
language = "German",
journal = "Nervenarzt",
issn = "0028-2804",
publisher = "Springer Verlag",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Wohin führt die Konvergenz der Psychiatriebudgets? : Ein Vergleich von Psych-PV-Vorgaben und tatsächlichen Personalressourcen

AU - Wolff, J

AU - Berger, M

AU - Normann, C

AU - Godemann, F

AU - Hauth, I

AU - Klimke, A

AU - Löhr, M

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Staffing regulations have determined the number of qualified staff required for sufficient, appropriate and economical inpatient mental health care in Germany since 1991. This minimum level of structural quality will probably be abolished in the context of the convergence of hospital budgets starting in 2019.AIMS AND OBJECTIVES: The aim of this study was to analyze the current fulfilment of staffing regulations in terms of time per patient in a large nationwide sample.MATERIAL AND METHODS: The required minutes of staff time as defined by staffing regulations were calculated for each patient using the treatment classifications provided by a large nationwide database. The actual use of staff time was calculated on the basis of average costs published by the German Institute for Hospital Reimbursement. Both figures were compared to calculate the fulfilment of staffing regulations.RESULTS: The study included approximately 95,000 inpatient episodes from 46 psychiatric hospitals and departments with a total length of stay of almost 2.5 million days. On average, the weekly use of staff resources per patient was 190 min (10 %) below the requirements of the staffing regulations. The largest gap in absolute terms was found in nursing staff where the weekly time per patient was 189 min (14 %) below the requirements of the staffing regulations.CONCLUSION: The convergence of psychiatric hospital budgets starts in 2019 below a level of funding required to fulfil staffing regulations. This would perpetuate inadequately funded structures and should initially be opposed with a demand for complete fulfilment of staffing regulations. Thereafter, a normative consent should be reached to define the resources required for current inpatient mental health care.

AB - BACKGROUND: Staffing regulations have determined the number of qualified staff required for sufficient, appropriate and economical inpatient mental health care in Germany since 1991. This minimum level of structural quality will probably be abolished in the context of the convergence of hospital budgets starting in 2019.AIMS AND OBJECTIVES: The aim of this study was to analyze the current fulfilment of staffing regulations in terms of time per patient in a large nationwide sample.MATERIAL AND METHODS: The required minutes of staff time as defined by staffing regulations were calculated for each patient using the treatment classifications provided by a large nationwide database. The actual use of staff time was calculated on the basis of average costs published by the German Institute for Hospital Reimbursement. Both figures were compared to calculate the fulfilment of staffing regulations.RESULTS: The study included approximately 95,000 inpatient episodes from 46 psychiatric hospitals and departments with a total length of stay of almost 2.5 million days. On average, the weekly use of staff resources per patient was 190 min (10 %) below the requirements of the staffing regulations. The largest gap in absolute terms was found in nursing staff where the weekly time per patient was 189 min (14 %) below the requirements of the staffing regulations.CONCLUSION: The convergence of psychiatric hospital budgets starts in 2019 below a level of funding required to fulfil staffing regulations. This would perpetuate inadequately funded structures and should initially be opposed with a demand for complete fulfilment of staffing regulations. Thereafter, a normative consent should be reached to define the resources required for current inpatient mental health care.

U2 - 10.1007/s00115-015-4311-z

DO - 10.1007/s00115-015-4311-z

M3 - Article

C2 - 25903502

JO - Nervenarzt

JF - Nervenarzt

SN - 0028-2804

ER -

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