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[Evidence-based hospital management considering data from the psychiatric basic documentation system].

Hermann Spiessl1, Bettina Hübner-Liebermann, Clemens Cording

  • 1Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität am Bezirksklinikum Regensburg. hermann.spiessl@medbo.de.

Psychiatrische Praxis
|December 1, 2004
PubMed
Summary
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Psychiatric basic documentation system data support hospital management for evidence-based decisions. This system ensures effective and efficient in-patient psychiatric treatment.

Area of Science:

  • Psychiatric data analysis
  • Healthcare management systems
  • Evidence-based medicine

Context:

  • The psychiatric basic documentation system (DGPPN-BADO) collects data on psychiatric in-patients.
  • Analysis of data from 14,327 patients between 1997 and 2001.

Purpose:

  • To demonstrate the utility of DGPPN-BADO data for evidence-based hospital management.
  • To inform decision-making processes in psychiatric care.

Summary:

  • 40% of patients admitted without prior medical referral; 20% referred by GPs, 10% by private psychiatrists.
  • Increase in affective and personality disorders observed between 1997-2001.
  • Patients admitted with greater psychosocial deficits (GAF scores) in 2001 compared to 1999, persisting at discharge.
  • Over 80% recommended for outpatient aftercare, primarily via GPs (50%) or private psychiatrists (33%).

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Impact:

  • DGPPN-BADO data are crucial for effective and efficient in-patient psychiatric treatment.
  • Supports hospital management in making informed, evidence-based decisions.
  • Highlights trends in patient demographics and treatment needs.