Ärztlicher Personalbedarf in der Versorgungspsychiatrie--eine "Bottom-Up" Personalbedarfsberechnung am Beispiel der Psychiatrischen Abteilung des Donauspitals in Wien

Peter Fischer, Sören Hanak, Beate Wally, Martin Aigner

Publikation: Beitrag in Fachzeitschrift (peer-reviewed)Artikel in Fachzeitschrift

3 Zitate (Scopus)

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.

Titel in ÜbersetzungManpower requirements for medical doctors in psychiatric departments of community hospitals--bottom-up calculation for the psychiatric department of Donauspital in Vienna
OriginalspracheDeutsch
Seiten (von - bis)10-17
Seitenumfang8
FachzeitschriftNeuropsychiatrie
Jahrgang30
Ausgabenummer1
DOIs
PublikationsstatusVeröffentlicht - 01 März 2016

Schlagwörter

  • Austria
  • Cross-Sectional Studies
  • Health Services Accessibility/statistics & numerical data
  • Health Services Needs and Demand/statistics & numerical data
  • Hospitals, Community
  • Humans
  • Medical Staff, Hospital/supply & distribution
  • Mental Disorders/epidemiology
  • Psychiatric Department, Hospital
  • Quality Assurance, Health Care/statistics & numerical data
  • Workforce

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