Evidence map›Paper›PMID 28220198›Full record

ArticleDer Nervenarzt2017

[Rationing in inpatient psychiatric care].

B Braun, P Brückner-Bozetti, M Lingenfelder, C Uhlmann, T Steinert

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Article in Der Nervenarzt, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

B BraunZentrum für Sozialpolitik (ZeS)/SOCIUM, Universität Bremen, Mary-Somerville-Straße 5, 28359, Bremen, Deutschland. bbraun@zes.uni-bremen.de.
P Brückner-BozettiBAB Institut für betriebswirtschaftliche und arbeitsorientierte Beratung GmbH Bremen, Bremen, Deutschland.
M LingenfelderLehrstuhl für Allgemeine Betriebswirtschaftslehre, insbes. Marketing und Handelsbetriebslehre, Philipps‑Universität Marburg, Marburg, Deutschland.
C UhlmannZentrum für Psychiatrie Südwürttemberg, Klinik für Psychiatrie und Psychotherapie I, Universität Ulm, Ulm, Deutschland.
T SteinertZentrum für Psychiatrie Südwürttemberg, Klinik für Psychiatrie und Psychotherapie I, Universität Ulm, Ulm, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examined whether and in which services in psychiatric institutions implicit rationing takes place from the perspective of doctors and nurses.

methodsFrom October 2013 to the middle of 2014 we conducted a written and standardized survey among physicians/psychologists (n = 256) and nurses (n = 796) from eight psychiatric hospitals in Germany.

resultsOut of 11 clinical activities 4 judged as necessary, namely communication and interaction with patients and relatives, coordination of treatment with other professionals and adequate documentation of the treatment, were not carried out sufficiently or implicitly rationed by 42-59% of the surveyed physicians/psychologists. Multivariate analysis identified a higher case load, poor relationships with superiors and an overall heavy workload as significant predictors of implicit rationing. DISCUSSION: The services which are particularly necessary for an effective treatment of mentally ill people, i.e. strong patient orientation and close cooperation with other professionals are jeopardized by the implicit rationing.

Indexed as

Attitude of Health PersonnelAdultFemaleGermanyHealth Care RationingHumansMaleMental DisordersMiddle AgedNational Health ProgramsPatient AdmissionPatient Care TeamSurveys and QuestionnairesImplicit rationingNursing personnelPhysicians/psychologistsPsychiatric treatmentRemuneration system PEPP

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.