Document Detail


Psychopathological syndromes according to the AMDP-system as the foundation for clinical case grouping in psychiatry
MedLine Citation:
PMID:  19655280     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD: We investigated whether classical psychopathological syndromes according to the AMDP-System at admission would predict the variation of length of hospital stay. Using linear regressions with forward elimination, we analyzed the predictive value of the AMDP syndromes, and also of global assessment of functioning, illness severity and certain sociodemographic factors for the length of stay. RESULTS: Together with clinical and sociodemographic factors, we found a variance estimation of 20 %. CONCLUSIONS: Our pilot study does not imply AMDP syndromes to be suitable for a case grouping to estimate costs. Other analytical approaches using AMDP syndromes may lead to a better prediction, however, its use shall be regarded critically.
Authors:
Uwe Herwig; Ingeborg Warnke; Wulf R??ssler
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2009-08-04
Journal Detail:
Title:  Psychiatrische Praxis     Volume:  36     ISSN:  1439-0876     ISO Abbreviation:  Psychiatr Prax     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-29     Completed Date:  2010-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0423204     Medline TA:  Psychiatr Prax     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  320-6     Citation Subset:  IM    
Copyright Information:
Georg Thieme Verlag KG Stuttgart. New York.
Affiliation:
Psychiatrische Universit??tsklinik Z??rich, Klinik f??r Soziale Psychiatrie und Allgemeinpsychiatrie Z??rich West, 8004 Z??rich / Schweiz. uwe.herwig@puk.zh.ch
Vernacular Title:
Psychopathologische Syndrome gem??ss AMDP-System als Grundlage f??r Fallgruppierungen in der Psychiatrie.
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MeSH Terms
Descriptor/Qualifier:
Diagnosis-Related Groups*
Fee Schedules
Humans
Length of Stay / economics
Mental Disorders / classification*,  diagnosis*,  economics
National Health Programs* / economics
Patient Admission* / economics
Pilot Projects
Prognosis
Psychiatry* / economics
Psychopathology
Switzerland

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