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Statutory Duties of German Psychiatric Outpatient Clinics and their Real Care Conditions.
MedLine Citation:
PMID:  23345189     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: This study examines whether psychiatric outpatient clinics fulfill their statutory role of providing psychiatric services for patients with severe mental disorders.Methods: A retrospective cross-sectional study on 1,672 patients of a psychiatric outpatient clinic for the year 2010, based on 30 variables. Associations between variables were explored by means of robust multivariate regression models and polynomial regression plots.Results: The patients' average CGI value was found to be 5.98, the mean GAF-score 47.3, and the mean duration of illness 13.8 years. A third of the sample attempted suicide in the past. Metabolic comorbidity was found in 23.1 % of the sample. Results of regression analyses reveal positive effects of the disease severity and functional impairment on the use of psychiatric care. Patients with affective and schizophrenic disorders received more units of care and caused more costs. Patients living in nursing homes received less in- and outpatient care but caused more medication costs.Conclusions: Study results support the assumption that German psychiatric outpatient clinics fulfill their statutory duties by treating severely chronically mentally ill patients. The patients' use of care is positively related to the disease severity and their functional impairment. However, results of the regression analyses suggest that patients living in nursing homes received less psychiatric care than patients who live more independently.
Authors:
Juan Valdes-Stauber; Reinhold Kilian
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-23
Journal Detail:
Title:  Psychiatrische Praxis     Volume:  -     ISSN:  1439-0876     ISO Abbreviation:  Psychiatr Prax     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0423204     Medline TA:  Psychiatr Prax     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Affiliation:
Zentrum für Psychiatrie Südwürttemberg, Universität zu Ulm I.
Vernacular Title:
Behandlungsauftrag und Behandlungsrealität psychiatrischer Institutsambulanzen.
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