Jordan Wolfgang, Adler Lothar, von Einsiedel Regina, Grosskopf Volker, Hauth Iris, Leidinger Friedrich
Klinik für Psychiatrie und Psychotherapie, Klinikum Magdeburg gemeinnützige GmbH, Magdeburg, Germany.
Psychiatr Prax. 2011 Nov;38 Suppl 2:S25-34. doi: 10.1055/s-0031-1276947. Epub 2011 Oct 17.
Under current conditions psychiatric-psychotherapeutic inpatient care can not be sustained in its present form for much longer. Therefore, our main priority must be to adapt the care structures to the changes in society and psychiatry under consideration of the patients' needs. Cooperation, integration, and interlocking of cross-sectoral and interdisciplinary treatment provision are the challenge of the next decade. They will require networked organisation forms of high complexity as well as new mindsets and approaches. Significant steps and instruments of a structural transformation in the overall therapeutic services are elucidated using the example of a psychiatric care centre and discussed in connection with the introduction of a new reimbursement system for psychiatric and psychosomatic facilities in 2013. New cross-sectoral concepts could ensure care, particularly in regions with lacking or inadequate outpatient structure. Management competences combined with holistic thinking can help to create patient-centred alignments in this context.
在当前情况下，精神心理治疗住院护理以其目前的形式无法再持续很长时间。因此，我们的首要任务必须是根据患者需求，使护理结构适应社会和精神病学的变化。跨部门和跨学科治疗服务的合作、整合与衔接是未来十年的挑战。这将需要高度复杂的网络化组织形式以及新的思维模式和方法。以一家精神科护理中心为例，阐述了整个治疗服务结构转型的重要步骤和手段，并结合2013年引入的针对精神科和身心疾病治疗机构的新报销系统进行了讨论。新的跨部门概念可以确保护理，尤其是在门诊结构缺乏或不足的地区。在这种情况下，管理能力与整体思维相结合有助于实现以患者为中心的调整。
