[德国法医承诺的情况 - - DGPPN调查结果]
Robert Zeidler1, Manuela Dudeck2, Udo Frank3
1Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde e. V., Berlin, Deutschland.
Der Nervenarzt
|November 9, 2023
概括
德国的法医精神病医院面临着严重的过度拥挤和人员短缺,影响患者的护理和安全. 尽管进行了法律改革,但许多机构缺乏满足治疗标准的资源.
科学领域:
- 法医精神病学 法医精神病学
- 医疗保健管理的管理
- 法律医学 法律医学
背景情况:
- 德国法医精神病学受刑法第63条和第64条的管辖,经历了改革.
- 尽管立法发生了变化,但仍然存在对法医设施容量和条件不足的担忧.
- 缺乏客观数据阻碍了对当前情况的清晰理解.
研究的目的:
- 调查德国法医精神病机构的管理情况.
- 收集有关结构,占用,人员和事件相关方面的数据.
- 提供对法医精神病学现状的客观描述.
主要方法:
- 一项在线调查分发给德国所有78家法医医院.
- 该调查收集了有关设施结构,占用率,人员配置,事件和患者特征的数据.
- 用描述性统计数据来分析收集的数据.
主要成果:
- 68.5%的参与诊所报告过度拥挤.
- 人员和空间短缺被广泛报道,影响了治疗的充分性.
- 患者的身体攻击越来越多,五分之一的患者停留超过10年.
结论:
- 法医精神病医院通常处于紧张的局面,许多人面临相当大的压力.
- 财政,结构,空间和人力资源不足,阻碍了履行法律任务.
- 许多诊所不符合治疗标准,例如DGPPN (2017) 的标准.
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