Cuntz Ulrich, Brückner-Bozetti Peter, Hochlehnert Achim, Friederich Hans-Christoph, Kruse Johannes, Heuft Gereon, Hildenbrand Gerhard, Sauer Nina, Kölch Michael, Löhr Michael, Hauth Iris
Schön Klinik Roseneck Am Roseneck 6 83209 Prien am Chiemsee Deutschland https://www.schoen-klinik.de/roseneck.
Forum für Gesundheitswirtschaft gGmbH/e.V Deutschland https://www.forum-fuer-gesundheitswirtschaft.org/.
Z Psychosom Med Psychother. 2021;67(1):88-103. doi: 10.13109/zptm.2021.67.1.88.
In accordance with the legal requirements of the PsychVVG, it is necessary to develop criteria for inpatient and day-care psychosomatic psychotherapeutic care, which can be used to determine the appropriate staffing for different treatment areas and different care structures. For psychosomatic medicine and psychotherapy a model with four treatment clusters was developed, which is oriented on the one hand to the psychotherapeutic intensity and on the other hand to the medical expenditure. In three consecutive rounds with up to 30 experts, representative selected from the three institution types university hospital, departmental psychosomatic medicine and specialized clinic, the minute values per patient required for a treatment according to the guidelines were determined using the Delphi method. Newly developed activity profiles for the six occupational groups were used, which allow the recording of all patient- and setting-related activities. With the results of the feasibility study, an instrument has been developed for the first time to determine the requirements of staffing in psychosomatic medicine. Convergent minute values could be formulated for three of the four treatment clusters. The provision of care in psychosomatic medicine and psychotherapy is complex, so that a limitation to four treatment areas is only possible if significantly more generous equivalence rules are applied between the professional groups than those laid down in the PPP Directive.
根据《精神卫生与心理治疗法》的法律要求，有必要制定住院和日间护理身心心理治疗护理的标准，这些标准可用于确定不同治疗区域和不同护理结构的适当人员配备。对于身心医学和心理治疗，开发了一个具有四个治疗组的模型，该模型一方面以心理治疗强度为导向，另一方面以医疗支出为导向。在三轮连续的咨询中，从大学医院、科室身心医学和专科医院这三种机构类型中代表性地挑选了多达30名专家，使用德尔菲法确定了根据指南进行一次治疗所需的每位患者的分钟值。使用了新开发的六个职业群体的活动概况，这些概况允许记录所有与患者和环境相关的活动。根据可行性研究的结果，首次开发了一种工具来确定身心医学的人员配备需求。可以为四个治疗组中的三个制定趋同的分钟值。身心医学和心理治疗中的护理提供很复杂，因此只有在专业群体之间应用比《公共服务平等化指令》规定的更为宽松的等效规则时，才有可能将其限制在四个治疗领域。
