Stein Barbara, Fritzsche Kurt, Schäfer Christine, Pedrosa Gil Francisco, Vitinius Frank, von Wachter Martin, Häfner Steffen, Loew Thomas, Herzog Thomas, Söllner Wolfgang
Klinik für Psychosomatik und Psychotherapeutische Medizin, Klinikum Nürnberg, Prof. Ernst-Nathan-Strasse 1, D-90419 Nürnberg.
Z Psychosom Med Psychother. 2006;52(2):141-60. doi: 10.13109/zptm.2006.52.2.141.
In the German DRG system the funding of CL services is not ensured. The documentation of psychiatric comorbidity and CL care delivery is a pre-condition to the development of funding models for CL-services. A task force of several German psychosomatic associations (German College of Psychosomatic Medicine, German Society of Psychosomatic Medicine and Psychotherapy, General Medical Society for Psychotherapy) developed a new documentation form for CL-services (CL-BaDo). The pilot study explored the multicenter implementation of CL-BaDo and the use of the documentation form for quality management and cost calculation. Over a period of at least three months, participating CL-services documented all CL cases consecutively with the CL-BaDo. One site applied full electronic data processing. 2116 CL cases from eight psychosomatic CL-services were analysed. The CL-BaDo is a time-efficient, feasible and acceptable documentation form for CL-service delivery. The full electronic data processing enables networking with a hospital information system to produce higher data quality. The data of CL-BaDo can be used locally for quality management, development of management strategies and communication with consultants, as well as nationwide for health policy questions and research.
在德国疾病诊断相关分组(DRG)系统中,慢性疾病管理(CL)服务的资金保障未得到确保。精神疾病共病情况及CL护理服务的记录是制定CL服务资金模式的前提条件。几个德国心身医学协会(德国心身医学学院、德国心身医学与心理治疗协会、普通心理治疗医学协会)的一个特别工作组为CL服务开发了一种新的记录表格(CL-BaDo)。该试点研究探讨了CL-BaDo在多中心的实施情况以及该记录表格在质量管理和成本计算中的使用。在至少三个月的时间里,参与的CL服务机构使用CL-BaDo连续记录了所有CL病例。一个机构采用了全电子数据处理。对来自八个心身CL服务机构的2116例CL病例进行了分析。CL-BaDo是一种记录CL服务提供情况的高效、可行且可接受的记录表格。全电子数据处理能够与医院信息系统联网,以产生更高的数据质量。CL-BaDo的数据可在本地用于质量管理、管理策略制定以及与顾问沟通,也可在全国范围内用于卫生政策问题和研究。