Haberfellner Egon Michael, Grausgruber Alfred, Grausgruber-Berner Rosemarie, Ortmair Margarethe, Schöny Werner
Pro Mente Oberösterreich.
Psychiatr Prax. 2006 Mar;33(2):74-80. doi: 10.1055/s-2004-828397.
The study was intended to evaluate the therapeutic and healthcare services utilized by 116 former long-stay patients after an average of 42.9 months of deinstitutionalization during a follow-up time of (1/2) year and to calculate the costs thus incurred.
116 patients and their caregivers were interviewed during a period of 6 months using the German version of the Client Sociodemographic and Service Receipt Inventory.
On average, 3.3 institutions/facilities were contacted per patient, most often by younger patients living in group homes and least often by patients in psychiatric nursing homes. During the 6-month follow-up time costs of euro 14,665 were incurred per patient. Of these costs, 87.2 % were for the residential facilities. The costs of outpatient care accounted for 41.4 % of the costs that would have been incurred for inpatient care in a psychiatric hospital.
Deinstitutionalization of psychiatric long-stay patients in Upper Austria provided for considerable reductions in costs while maintaining a high quality of care.
本研究旨在评估116名 former long-stay patients 在平均42.9个月的非机构化治疗后的随访期（半年）内所使用的治疗和医疗服务，并计算由此产生的费用。
在6个月的时间里，使用德文版的《客户社会人口统计学和服务接受情况清单》对116名患者及其护理人员进行了访谈。
每位患者平均联系3.3个机构/设施，住在集体宿舍的年轻患者联系最为频繁，而住在精神病疗养院的患者联系最少。在6个月的随访期内，每位患者产生了14,665欧元的费用。其中，87.2%用于居住设施。门诊护理费用占精神病医院住院护理费用的41.4%。
奥地利上奥地利州精神病长期住院患者的非机构化治疗在保持高质量护理的同时，大幅降低了成本。
