Bramesfeld A, Adler G, Brassen S, Schnitzler M, Cullik F
Psychiatr Prax. 2000 May;27(4):165-9.
The variety of institutional treatments in psychiatry, as well as financial aspects make it necessary to evaluate these institutions for the quality of their medical care. At the Central Institute of Mental Health in Mannheim, the quality of treatment at the geronto-psychiatric day-clinic is assessed on the level of outcome quality.
The patients are examined at admission, at discharge, half a year and one year after discharge. Psychopathology, activities of daily living, social situation and quality of life are assessed by means of standardized instruments.
Preliminary results show that at discharge, patients are less depressed, have achieved a higher level of social activities and contacts and that their quality of life improved in most domains. In some domains of quality of life improvement is highly correlated with the amelioration of depressive symptoms, in others not.
Whether these effects of treatment will last, has to be studied in follow-up examinations.
精神病学领域机构治疗方式多样，且涉及财务方面，因此有必要对这些机构的医疗质量进行评估。在曼海姆中央精神卫生研究所，老年精神病日间诊所的治疗质量是根据治疗结果质量水平进行评估的。
对患者在入院时、出院时、出院后半年和一年进行检查。通过标准化工具评估精神病理学、日常生活活动、社会状况和生活质量。
初步结果显示，出院时患者抑郁症状减轻，社交活动和交往水平提高，生活质量在大多数领域得到改善。在生活质量的某些领域，改善与抑郁症状的缓解高度相关，而在其他领域则不然。
这些治疗效果是否会持续，必须在后续检查中进行研究。
