[Quality of care in internal medicine in German psychiatric hospitals]
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Walter Hewer1, Hans-Joachim Salize, Manfred Wolfersdorf
1Abteilung Gerontopsychiatrie und -psychotherapie Vinzenz von Paul Hospital, Rottweil. w.hewer@VvPH.de
Objective:
Study on selected aspects of structural quality of care in internal medicine in German psychiatric hospitals.
Method:
Investigation by questionnaire completed by medical directors of German psychiatric hospitals (response quote 48.8 %).
Results:
Descriptive data from 81 hospitals with 25 920 inpatient beds are presented relating to various indicators of structural quality of care in internal medicine (e. g. availability of internal medicine consultations, diagnostic equipment, as ECG, clinical chemistry laboratory, ultrasound).
Conclusions:
We found evidence of a satisfactory infrastructure relating to internal medicine in a majority of hospitals. However, there exist also indications of significant deficits pertaining to certain aspects of medical care in the institutions investigated. With regard to the importance of medical comorbidity in clinical psychiatry the availability of adequate resources in internal medicine is a relevant indicator of quality of care in psychiatric hospitals.
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