ArticleSocial psychiatry and psychiatric epidemiology2015
A work time study analysing differences in resource use between psychiatric inpatients.
Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 36 citations in OpenAlex.
- Psychiatrists' perceptions of conditions and consequences associated with the implementation of open notes: qualitative investigation.BMC psychiatry · 2024Article
- Users' Experiences With Online Access to Electronic Health Records in Mental and Somatic Health Care: Cross-Sectional Study.Journal of medical Internet research · 2023Article
- Forecasting admissions in psychiatric hospitals before and during Covid-19: a retrospective study with routine data.Scientific reports · 2022Article
- [Outsourcing of nursing staff costs in psychiatry? : A secondary data analysis of possible effects on the remuneration system in psychiatry].Der Nervenarzt · 2022Article
- Sharing Clinical Notes and Electronic Health Records With People Affected by Mental Health Conditions: Scoping Review.JMIR mental health · 2021Article
- Work-Time Distribution of Physicians at a German University Hospital.Deutsches Arzteblatt international · 2017Article
- [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of behavioral and psychological symptoms of dementia : Normative definition of personnel requirements].Der Nervenarzt · 2017Article
- The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry.International journal of environmental research and public health · 2017Article
- [Guideline-adherent psychiatric psychotherapeutic treatment of bipolar disorders : Which resources are needed?]Der Nervenarzt · 2017Review
- [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of borderline personality disorder : Normative definition of personnel requirements].Der Nervenarzt · 2016Article
- [Guideline-adherent inpatient psychiatric psychotherapeutic treatment of obsessive-compulsive disorder : Normative definition of personnel requirements].Der Nervenarzt · 2016Article
- [Guideline-conform psychiatric psychotherapeutic treatment for patients with schizophrenia : A normative evaluation of necessary personnel requirements].Der Nervenarzt · 2016Article
- [Guideline-conform inpatient psychiatric psychotherapeutic treatment of chronic depression: Normative personnel requirements].Der Nervenarzt · 2016Article
- [Normative definition of staff requirement for a guideline-adherent inpatient qualified detoxification treatment in alcohol dependence].Der Nervenarzt · 2016Article
- [Guideline-oriented inpatient psychiatric psychotherapeutic/psychosomatic treatment of anxiety disorders : How many personnel are need?].Der Nervenarzt · 2016Review
- Determinants of per diem Hospital Costs in Mental Health.PloS one · 2016Article
- Predictors of length of stay in psychiatry: analyses of electronic medical records.BMC psychiatry · 2015Article
- [Where is convergence of psychiatry budgets leading to? A comparison of staffing regulations and actual personnel resources].Der Nervenarzt · 2015Article
- What, when, and how long? Doula time use in a community doula program in San Francisco, California.Women's health (London, England)Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeJudgement about the adequacy of reimbursement schemes requires an understanding of differences in resource use between patient groups. The aim of this study was to analyse staff time allocation of psychiatrists, psychologists and nurses in inpatient mental health care and to use these data to analyse differences in per diem resource use between patient groups.
methodsA self-reporting work-sampling study was carried out at a psychiatric teaching hospital. All of 36 psychiatrists, 23 psychologists and 106 nurses involved in clinical care during the study period participated in a two-week measurement of their work time.
resultsA total of 20,380 observations were collected, representing about 10,190 h of work or 6.2 full-time-equivalent years. The average resource use in minutes of staff time per patient day was 227 min, representing 138 <euro> of staff costs. The most resource intensive care was provided at the Psychiatric Intensive Care Unit and for geriatric patients with 334 and 266 min per patient day (192 and 162 <euro>), respectively. The least resource intensive care was provided for patients with substance-related disorders (197 min, 116 <euro>). Substantial shares of clinical work time were dedicated to tasks without patient contact (58 %). Nursing time was the main driver of total resource use, representing 70 % of staff time and 60 % of costs.
conclusionPresented differences in per diem resource use should inform discussions about the adequacy of reimbursement schemes. Tasks in the absence of the patient, such as documentation and administration, should be reduced to free resources for direct patient care.
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