Development and evaluation of a case group concept for inpatients with mental disorders in Germany: using self-report and expert-rated instruments.
Standard
Development and evaluation of a case group concept for inpatients with mental disorders in Germany: using self-report and expert-rated instruments. / Andreas, Sylke; Dirmaier, Jörg; Harfst, Timo; Kawski, Stephan; Koch-Gromus, Uwe; Schulz, Holger.
In: EUR PSYCHIAT, Vol. 24, No. 2, 2, 2009, p. 105-111.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Development and evaluation of a case group concept for inpatients with mental disorders in Germany: using self-report and expert-rated instruments.
AU - Andreas, Sylke
AU - Dirmaier, Jörg
AU - Harfst, Timo
AU - Kawski, Stephan
AU - Koch-Gromus, Uwe
AU - Schulz, Holger
PY - 2009
Y1 - 2009
N2 - The aim of this study was to evaluate a case-mix system to classify inpatients with mental disorders in Germany by means of self-report and expert-rated instruments. The use of case-mix systems enhances the transparency of performance and cost structure and can thus improve the quality of mental health care. We analysed a consecutive sample of 1677 inpatients with mental disorders from 11 hospitals using regression tree analysis. The model assigns patients to 17 groups, accounting for 17% of the variance for duration of stay. Patients with eating disorders had a longer duration of stay than patients with anxiety disorder, duration of mental illness of less than 3-5 years, lower levels of interpersonal problems and higher occupational position. The results showed that besides diagnosis, variables such as duration of illness and interpersonal problems are important for classifying inpatients with mental disorders. The results of the study should be critically reviewed regarding the empirical results of other studies and the appropriateness of case group concepts for inpatients with mental disorders.
AB - The aim of this study was to evaluate a case-mix system to classify inpatients with mental disorders in Germany by means of self-report and expert-rated instruments. The use of case-mix systems enhances the transparency of performance and cost structure and can thus improve the quality of mental health care. We analysed a consecutive sample of 1677 inpatients with mental disorders from 11 hospitals using regression tree analysis. The model assigns patients to 17 groups, accounting for 17% of the variance for duration of stay. Patients with eating disorders had a longer duration of stay than patients with anxiety disorder, duration of mental illness of less than 3-5 years, lower levels of interpersonal problems and higher occupational position. The results showed that besides diagnosis, variables such as duration of illness and interpersonal problems are important for classifying inpatients with mental disorders. The results of the study should be critically reviewed regarding the empirical results of other studies and the appropriateness of case group concepts for inpatients with mental disorders.
M3 - SCORING: Zeitschriftenaufsatz
VL - 24
SP - 105
EP - 111
JO - EUR PSYCHIAT
JF - EUR PSYCHIAT
SN - 0924-9338
IS - 2
M1 - 2
ER -