Klöppel Stefan, von Gunten Armin, Georgescu Dan
Société suisse de psychiatrie et psychothérapie de la personne âgée, Weggis, Suisse.
Clinique universitaire de psychiatrie et psychothérapie de la personne âgée, Universitäre Psychiatrische Dienste AG (UPD), Université de Berne, Berne, Suisse.
Praxis (Bern 1994). 2023 Apr;112(5-6):1-7. doi: 10.1024/1661-8157/a004028.
Quality Standards in Old Age Psychiatry Quality standards and regulations are becoming increasingly important and are promoted in the context of the permission to treat, to bill and via financial incentives. In this context, the regulatory frameworks focus to varying degrees on structural, process or outcome criteria. On behalf of the Swiss Society for Old Age Psychiatry and Psychotherapy (SGAP), we summarize the quality elements in this document and group the requirements derived from them based on setting (outpatient, intermediate, inpatient) and structural quality criteria (staffing ratio, infrastructure). There is a very extensive requirements matrix, and its implementation requires considerable efforts, not least because of the shortage of specialists and limited financial resources of psychiatric institutions and medical practices. The criteria of the requirements matrix must be further developed and anchored in a "competence-based training in old age psychiatry".
老年精神病学的质量标准 质量标准和法规正变得越来越重要，并在治疗许可、计费以及通过经济激励措施的背景下得到推广。在此背景下，监管框架在不同程度上侧重于结构、过程或结果标准。我们代表瑞士老年精神病学和心理治疗协会（SGAP）在本文件中总结了质量要素，并根据环境（门诊、中期、住院）和结构质量标准（人员配备比例、基础设施）对从中得出的要求进行了分组。有一个非常广泛的要求矩阵，其实施需要付出相当大的努力，尤其是因为专科医生短缺以及精神病院和医疗实践的财政资源有限。要求矩阵的标准必须进一步完善，并融入“基于能力的老年精神病学培训”之中。
