Zusammenfassung
Anliegen: Untersuchung zur Strukturqualität der internistischen Versorgung in psychiatrischen
Fachkrankenhäusern. Methode: Befragung der Ärztlichen Direktoren deutscher Fachkrankenhäuser (Antwortquote 48,8
%). Ergebnisse: Deskriptive Daten zu verschiedenen Indikatoren für die Qualität der internistischen
Versorgung aus 81 Kliniken mit 25 920 Betten werden dargestellt. Schlussfolgerungen: Trotz überwiegend zufrieden stellender Infrastruktur ergeben sich auch Hinweise auf
Defizite in der internistischen Versorgung. Angesichts der Bedeutung der somatischen
Komorbidität in der klinischen Psychiatrie stellt die internistische Versorgung ein
wichtiges Qualitätsmerkmal psychiatrischer Einrichtungen dar.
Abstract
Objective: Study on selected aspects of structural quality of care in internal medicine in German
psychiatric hospitals. Method: Investigation by questionnaire completed by medical directors of German psychiatric
hospitals (response quote 48.8 %). Results: Descriptive data from 81 hospitals with 25 920 inpatient beds are presented relating
to various indicators of structural quality of care in internal medicine (e. g. availability
of internal medicine consultations, diagnostic equipment, as ECG, clinical chemistry
laboratory, ultrasound). Conclusions: We found evidence of a satisfactory infrastructure relating to internal medicine
in a majority of hospitals. However, there exist also indications of significant deficits
pertaining to certain aspects of medical care in the institutions investigated. With
regard to the importance of medical comorbidity in clinical psychiatry the availability
of adequate resources in internal medicine is a relevant indicator of quality of care
in psychiatric hospitals.
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Priv.-Doz. Dr. med. Walter Hewer
Vinzenz von Paul Hospital
78628 Rottweil
Email: w.hewer@VvPH.de