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Kinder- und jugendpsychiatrische Versorgung: Akzeptanz eines neuen ambulanten Versorgungsmodells


Eisenring, Raphael; Kuhn, Christine; Rusterholz Fend, Süsette; Unger-Köppel, Jürg; Stulz, Niklaus (2015). Kinder- und jugendpsychiatrische Versorgung: Akzeptanz eines neuen ambulanten Versorgungsmodells. Psychiatrische Praxis, 43(03):141-146.

Abstract

Ziel der Studie: Evaluation eines neuen ambulanten Versorgungsmodells in der Kinder- und Jugendpsychiatrie, das auf einer zentralen Anmeldung und einem Online-Diagnostik-Instrument (DAWBA) basiert. Methodik: Analyse von Patientenströmen, Akzeptanz und Personalkosten. Ergebnisse: Mit hoher Akzeptanz (DAWBA-Antwortrate: 92 %) und personellen Zusatzkosten von CHF 190 pro Fall konnten 2012 rund ein Drittel der Anmeldungen in KJPD-externe Angebote weitergewiesen werden. Schlussfolgerungen: Das neue Versorgungsmodell erwies sich als effektiv und akzeptiert. = Objective: To evaluate a new ambulatory care system in outpatient child and adolescent psychiatry based on the web-based Development and Well-Being Assessment (DAWBA). Methods: We analyzed patient paths (flows), acceptance, satisfaction, and staff costs in the newly implemented care model. Results: The new model was very well accepted by the respondents (DAWBA response rate: 92 %). A third of the patients registered with the psychiatric service in 2012 were not in need of psychiatric treatment and were therefore referred to other psycho-social services. The additional staff costs of $ 200 per case might be low compared to the saved costs due to the avoidance of inappropriate medical care. Conclusion: The new ambulatory care model proved to be effective, efficient and broadly accepted when resources are strictly limited.

Abstract

Ziel der Studie: Evaluation eines neuen ambulanten Versorgungsmodells in der Kinder- und Jugendpsychiatrie, das auf einer zentralen Anmeldung und einem Online-Diagnostik-Instrument (DAWBA) basiert. Methodik: Analyse von Patientenströmen, Akzeptanz und Personalkosten. Ergebnisse: Mit hoher Akzeptanz (DAWBA-Antwortrate: 92 %) und personellen Zusatzkosten von CHF 190 pro Fall konnten 2012 rund ein Drittel der Anmeldungen in KJPD-externe Angebote weitergewiesen werden. Schlussfolgerungen: Das neue Versorgungsmodell erwies sich als effektiv und akzeptiert. = Objective: To evaluate a new ambulatory care system in outpatient child and adolescent psychiatry based on the web-based Development and Well-Being Assessment (DAWBA). Methods: We analyzed patient paths (flows), acceptance, satisfaction, and staff costs in the newly implemented care model. Results: The new model was very well accepted by the respondents (DAWBA response rate: 92 %). A third of the patients registered with the psychiatric service in 2012 were not in need of psychiatric treatment and were therefore referred to other psycho-social services. The additional staff costs of $ 200 per case might be low compared to the saved costs due to the avoidance of inappropriate medical care. Conclusion: The new ambulatory care model proved to be effective, efficient and broadly accepted when resources are strictly limited.

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Additional indexing

Other titles:Child and Adolescent Psychiatry: Acceptance of a New Ambulatory Care System
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Center for Child and Adolescent Psychiatry
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2015
Deposited On:26 Jan 2017 07:15
Last Modified:26 Jan 2017 07:17
Publisher:Georg Thieme Verlag
ISSN:0303-4259
Publisher DOI:https://doi.org/10.1055/s-0034-1387507
PubMed ID:25643037

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