von Peter Sebastian, Schwarz Julian, Bechdolf Andreas, Birker Thomas, Deister Arno, Ignatyev Yuriy, Bois Anna Schulz-Du, Heinze Martin, Timm Jürgen
Hochschulklinik für Psychiatrie und Psychotherapie, Medizinische Hochschule Brandenburg Theodor Fontane, Immanuel Klinik Rüdersdorf.
Kliniken für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Am Urban und Vivantes Klinikum im Friedrichshain, Akademische Lehrkrankenhäuser der Charité Universitätsmedizin Berlin, Berlin.
Gesundheitswesen. 2021 Jan;83(1):33-39. doi: 10.1055/a-0945-9851. Epub 2019 Jul 16.
New treatment models (according to §64b German Social Code) have been introduced in Germany to improve flexible and integrated forms of psychiatric care. The aim of this study was to analyse the specific conditions under which many of these models have been implemented in the federal state of Schleswig-Holstein (SH) in comparison to other federal regions.
A standardized survey reached 383 patients in seven psychiatric departments, among them three departments in SH. In addition, routine data and data evaluating the grade of implementation in these departments were analysed.
Departments in SH showed more developed implementation processes, compared with departments in other regions. Implemented changes were perceived and evaluated as being better by patients in SH.
Implementation processes of flexible and integrated forms of care according to §64b were particularly successful in SH. Extensive political support is discussed as a major reason, among others, for this development.
德国引入了新的治疗模式（根据德国社会法典第64b条），以改善灵活且综合的精神科护理形式。本研究的目的是分析与其他联邦地区相比，石勒苏益格-荷尔斯泰因州（SH）实施这些模式的具体条件。
一项标准化调查覆盖了七个精神科部门的383名患者，其中包括SH的三个部门。此外，还分析了这些部门的常规数据和评估实施程度的数据。
与其他地区的部门相比，SH的部门展示了更完善的实施过程。SH的患者对实施的变革感知更好、评价更高。
根据第64b条实施的灵活且综合的护理形式在SH特别成功。广泛的政治支持被认为是这一发展的主要原因之一。
