Normative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence

被引:4
|
作者
Kiefer, F. [1 ]
Koopmann, A. [1 ]
Godemann, F. [2 ]
Wolff, J. [3 ]
Batra, A. [4 ]
Mann, K. [1 ]
机构
[1] Heidelberg Univ, Med Fak Mannheim, Zent Inst Seel Gesundheit, Klin Abhangiges Verhalten & Suchtmed, Quadrat J5, D-68159 Mannheim, Germany
[2] Alexianer St Joseph Krankenhaus Berlin Weissensee, Klin Psychiat & Verhaltenstherapeut Med, Berlin, Germany
[3] Univ Freiburg Klinikum, Abt Betriebswirtschaft & Controlling, Geschaftsbereich Controlling & Finanzen, Freiburg, Germany
[4] Univ Klin Psychiat & Psychotherapie Tubingen, Sekt Suchtforsch & Suchtmed, Tubingen, Germany
来源
NERVENARZT | 2016年 / 87卷 / 03期
关键词
Alcohol; Withdrawal; Detoxification; Guidelines; Psychotherapy;
D O I
10.1007/s00115-015-0053-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The central element of the "qualified withdrawal treatment" of alcohol dependence is - in addition to physical withdrawal treatment - psychotherapy. The treatment of the underlying addictive disorder that is displayed by intoxication, harmful behaviour and withdrawal symptoms is only possible with a combination of somatic and psychotherapeutic treatment elements. The successfully established multimodal therapy of the "qualified alcohol withdrawal treatment", postulated in the current S3-Treatment Guidelines, requires a multi-disciplinary treatment team with psychotherapeutic competence. The aim of the present work is to calculate the normative staff requirement of a guideline-based 21-day qualified withdrawal treatment and to compare the result with the staffing regulations of the German Institute for Hospital Reimbursement. The present data support the hypothesis that even in the case of a hundred per cent implementation of these data, adequate therapy of alcohol-related disorders, according to the guidelines, is not feasible. This has to be considered when further developing the finance compensation system based on the described superseded elements of the German Institute for Hospital Reimbursement.
引用
收藏
页码:295 / 301
页数:7
相关论文
共 3 条
  • [1] Personalbedarfsermittlung für eine leitliniengerechte stationäre Qualifizierte Entzugsbehandlung bei AlkoholabhängigkeitNormative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence
    F. Kiefer
    A. Koopmann
    F. Godemann
    J. Wolff
    A. Batra
    K. Mann
    Der Nervenarzt, 2016, 87 : 295 - 301
  • [2] Guideline-adherent inpatient psychiatric psychotherapeutic treatment of obsessive-compulsive disorder. Normative definition of personnel requirements
    Klein, J. P.
    Zurowski, B.
    Wolff, J.
    Godemann, F.
    Herpertz, S. C.
    Berger, M.
    Heuft, G.
    Hohagen, F.
    NERVENARZT, 2016, 87 (07): : 731 - +
  • [3] Guideline-adherent psychiatric-psychotherapeutic hospital care. Normative definition of staff required using the example of depression
    Berger, M.
    Wolff, J.
    Normann, C.
    Godemann, F.
    Schramm, E.
    Klimke, A.
    Heinz, A.
    Herpertz, S. C.
    NERVENARZT, 2015, 86 (05): : 542 - 548