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[Incidence and Costs of 1:1 Care in Psychiatric Hospitals in Germany - A Descriptive Analysis Based on the VIPP

André Nienaber1, Michael Schulz2, Rüdiger Noelle2

  • 1LWL-Klinikum Gütersloh.

Psychiatrische Praxis
|February 3, 2015
PubMed

Insights

One-to-one (1:1) psychiatric care is frequently used in German hospitals, particularly for patients with acute suicidality. The VIPP project data shows its application increased from 3.8% in 2011 to 4.8% in 2012.

Area of Science:

  • Psychiatry
  • Healthcare Management
  • Health Services Research

Background:

  • One-to-one (1:1) care is a critical intervention for psychiatric patients requiring intensive monitoring, such as those with acute suicidality.
  • Understanding the frequency of 1:1 care is essential for resource allocation and quality assessment in psychiatric facilities.

Purpose of the Study:

  • To determine the frequency of 1:1 care application across various diagnoses and age groups in German psychiatric hospitals.
  • To analyze trends in 1:1 care utilization between 2011 and 2012.

Main Methods:

  • Analysis of data from the VIPP Project (2011-2012), encompassing over 120,000 cases from 47 German psychiatric hospitals.
  • Focus on the OPS code 9-640.0, representing 1:1 care, evaluated at the case level.

Main Results:

  • In 2011, 3.8% of all evaluated cases received 1:1 care, with slight variations between male (3.5%) and female (4.1%) patients.
  • The overall proportion of 1:1 care utilization increased to 4.8% in 2012 compared to 2011.
  • The VIPP project data provided valuable insights into the frequency of this costly intervention.

Conclusions:

  • One-to-one care is a commonly utilized intervention in German psychiatric hospitals.
  • The VIPP project data serves as a valuable resource for evaluating the frequency of intensive interventions in psychiatric care.
  • Further research should enable analysis at the individual code level for more granular insights.
Abstract

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