Kölch Michael G, Klein Marianne, Knebusch Veronika, Deister Arno, Heuft Gereon, Sauter Dorothea, Brückner-Bozetti Peter
Dept. for Child and Adolescent Psychiatry, Neurology, Psychosomatics and Psychotherapy, Rostock.
Centre for Psychiatry, Klinikum Schloss Winnenden.
Z Kinder Jugendpsychiatr Psychother. 2021 Mar;49(2):124-133. doi: 10.1024/1422-4917/a000780. Epub 2020 Dec 17.
An initiative by scientific societies of psychiatry, child and adolescent psychiatry, psychosomatic medicine, and further associations established the for the development of a needs-based system for adequate personnel allocation in psychiatric inpatient and day clinic units. We present the development of the instrument and a pilot study to identify feasibility and limitations. The basis of the study was a threefold methodological approach. Paradigmatic case vignettes adequately reflecting symptomatology and circumstances were described and validated, working profiles were generated and validated, and a matrix representing different needs-based dimensions was developed. Through reference date surveys, patients were assigned to needs-based clusters and Psych-PV categories. The required treatment effort under consideration of guidelines or expert consensus was estimated in several rounds of expert panels (Delphi method). The pilot study proves the feasibility of the . Methodological findings as well as limitations of the model were identified in order to further develop the Platform-Model. Conclusions: The cannot serve as a tool to describe clinical pathways, but it appears to be an adequate and practical tool for assessment of the required staffing level based on patient needs independent of diagnosis and setting.
精神病学、儿童与青少年精神病学、身心医学科学协会以及其他相关协会发起了一项倡议，旨在建立一个基于需求的系统，以便在精神科住院部和日间诊所进行合理的人员配置。我们介绍了该工具的开发过程以及一项试点研究，以确定其可行性和局限性。该研究基于三重方法论方法。描述并验证了充分反映症状学和情况的范例性病例 vignettes，生成并验证了工作概况，并开发了一个代表不同基于需求维度的矩阵。通过参考日期调查，将患者分配到基于需求的集群和心理-PV 类别中。在几轮专家小组会议（德尔菲法）中，根据指南或专家共识估计了所需的治疗工作量。试点研究证明了该工具的可行性。确定了方法学上的发现以及该模型的局限性，以便进一步开发平台模型。结论：该工具不能用作描述临床路径的工具，但它似乎是一个基于患者需求、独立于诊断和环境来评估所需人员配备水平的充分且实用的工具。
