Verbesserte Erfassung des Behandlungsprozesses mit einer modifizierten BADO

Hübner-Liebermann, Bettina; Spießl, Hermann; Spindler, Per; Cording, Clemens

doi:10.1055/s-2000-11328

Cited by 17 publications

(13 citation statements)

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“…Einen wesentlichen Fortschritt stellte die 1995 publizierte neue Version der psychiatrischen Basisdokumentation (BADO) dar, die neben strukturellen Daten auch Informationen über die Prozesse und Behandlungsergebnisse enthält [3]. Eine noch detailliertere Erfassung des Behandlungsprozesses ist mit einer modifizierten BADO möglich [17]. Grundsätzlich lassen sich damit jedoch bezüglich der Prozessqualität nur sehr globale Aussagen machen, da Datenerhebungen im Rahmen der BADO nur zu den Zeitpunkten der Aufnahme und der Entlassung erfolgen.…”

Section: Dokumentation Des Psychiatrischen Behandlungsprozessesunclassified

Standardized documentation procedure as a basis for improvement of process quality of treatment in psychiatric hospitals

Mann¹,

Müller²,

Hiemke³

et al. 2003

Nervenarzt

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A standardized documentation system is presented for detailed description and analysis of treatment procedure for psychiatric inpatients. In the first step of a pilot study limited to patients with depressive syndromes at the Department of Psychiatry, University of Mainz, for each subject the clinical status was assessed weekly using psychopathological ratings and depicted in its temporal course along with therapeutic activities. Visualization of the treatment process turned out to be useful for everyday work by supporting the application of practice guidelines for clinical decisions. Beyond optimization of the individual treatment process, aggregation of the data also allows global assessment of treatment processes in the clinic. Thus, in addition to established basic documentation, the presented documentation procedure allows the development of a powerful quality management system in psychiatric clinics, due to its process orientation. Moreover, in psychiatric care research, it is an adequate basis for evaluating the effectiveness and efficiency of treatment procedures.

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Section: Dokumentation Des Psychiatrischen Behandlungsprozessesunclassified

Standardized documentation procedure as a basis for improvement of process quality of treatment in psychiatric hospitals

Mann¹,

Müller²,

Hiemke³

et al. 2003

Nervenarzt

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“…Rückfragen bei den Therapeuten ergaben zudem, dass psychotherapeutische Gespräche mit festem Setting zum Teil unter dem Begriff "Gesprächspsychotherapie" kodiert wurden, auch wenn es sich nicht um die klientenzentrierte Gesprächspsychothe-rapie (nach Rogers) handelte. Der Problematik dieses Rater-Bias und der Begriffsunschärfe wird in der modifizierten BADO-Version des BKR ab 01.01.2000 Rechnung getragen [17].…”

Section: Bewertung Der Therapieevaluation Mittels Badounclassified

Psychotherapie in der psychiatrischen Klinik

Hübner-Liebermann¹,

Spießl²,

Cording³

2002

Der Nervenarzt

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This study was aimed to evaluate the role of psychotherapy in psychiatric in-patient care at the example of the Bezirksklinikum Regensburg (BKR) (Community Clinic in Regensburg, Germany). Based on a sample of 6,719 patients suffering from F2-F6 ICD-10 diagnoses, the data of the psychiatric basic documentation (BADO) from January 1995 until April 1999 was retrospectively analysed regarding type and frequency of psychotherapy, influencing factors on indication, and effects of psychotherapy on treatment success. In 33% of cases, specific psychotherapy was in use. A client-centered therapy was carried out in 20% of patients. Other techniques of psychotherapy such as behaviour therapy, cognitive therapy, IPT for schizophrenics, or psychodynamic psychotherapy were applied to 2-6% of patients. Inpatients with eating disorders, personality disorders, neurotic disorders, somatization disorders, and depression were more likely to receive a specific psychotherapy. A significantly positive effect on treatment success was only documented in affective disorders, whereas a significantly negative influence was found in personality disorders.

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“…Die vorliegende Evaluation soll daher die Rolle der niederge− lassenen Fachärzte als Einweiser in die Klinik und als Weiterbe− handler nach der Klinikentlassung näher beleuchten. [8,9] …”

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