Psychiatric hospital comparisons - Does it make sense to compare length of stay by diagnosis and age only?;Krankenhausbetriebsvergleich für psychiatrische Kliniken - Wie sinnvoll ist ein Vergleich der Behandlungsdauern nach Diagnose und Alter?

Gesundheitswesen

Volumn 61, Issue 5, 1999, Pages 227-233

  Richter, D ^a  

^a UNIVERSITY HOSPITAL MÜNSTER   (Germany)

Author keywords

Hospital Comparison; Hospital Payment; Length of Stay; Psychiatry

Indexed keywords

AGE; ARTICLE; BUDGET; DIAGNOSIS; ECONOMICS; GERMANY; HEALTH CARE QUALITY; HUMAN; LENGTH OF STAY; MENTAL HOSPITAL;

AGE FACTORS; BUDGETS; DIAGNOSIS; GERMANY; HOSPITALS, PSYCHIATRIC; HUMANS; LENGTH OF STAY; PROGRAM EVALUATION;

EID: 0033129829     PISSN: 09413790     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (47)

1. Luft HS, Hunt SS. Evaluating individual hospital quality through outcomes statistics. JAMA 255 (1986) 2780-2684
2. Iezzoni LI. Using risk-adjusted outcomes to assess clinical practice: An overview of issues pertaining to risk adjustment. Ann.Thorac.Surg. 58 (1994) 1822-1826
3. Iezzoni LI. The risks of risk-adjustment. JAMA 278 (1997) 1600-1607
4. Iezzoni LI (Hrsg.). Risk Adjustment for Measuring Health Care Outcomes. Health Administration Press, Ann Arbor. MI 1997 (2. Aufl.)
5. Taube C, Lee ES, Forthofer RN. DRGs in psychiatry: An empirical evaluation. Med. Care 22 (1984) 597-610
6. Taube C, Lee ES, Forthofer RN. Diagnosis-related groups for mental disorders, alcoholism, and drug abuse: Evaluation and alternatives. Hosp. Community Psychiatr. 35 (1984) 452-455
7. Schumacher DN, Namerow MJ, Parker B, Fox P, Kofie V. Prospective payment for psychiatry - feasibility and impact. N. Engl. J. Med. 315 (1986) 1331-1336
8. Horgan C, Jencks SF. Research on psychiatric classification and payment systems. Med. Care 25 (1987) Suppl. S22-S36
9. English JT, Sharfstein SS, Scherl DJ, Astrachan B, Muszynski IL. Diagnosis-related groups and general hospital psychiatry: The APA Study. Am. J. Psychiatry 143 (1986) 131-139
10. Stoskopf C, Horn SD. The computerized Psychiatric Severity Index as a predictor of inpatient length of stay for psychoses. Med. Care 29 (1991) 179-195
11. Kehr HH. Leistungsorientierter Krankenhaus-Betriebsvergleich. Entwicklung eines Informations- und Kontrollsystems zur Vergleichbarkeit der Krankenhäuser hinsichtlich ihrer Wirtschaftlichkeit. München: Rainer Hampp Verlag, 1995
12. Gerste B. Bildung von Krankenhausgruppen auf Fallmix-Basis. In: Krankenhaus-Report '96. Aktuelle Beiträge, Trends und Statistiken. Arnold, M., Paffrath, D. (Hrsg.). Stuttgart etc.: Gustav Fischer 1996
13. Horn SD, Chambers AF, Sharkey PD. Horn RA. Psychiatric severity of illness. A case mix study. Med. Care 27 (1989) 69-84
14. Fortney JC, Booth BM, Smith GR. Variation among VA Hospitals in length of stay for treatment of depression. Psychiatr. Serv. 47 (1996) 608-613
15. Eikelmann B. Sozialpsychiatrisches Basiswissen. Grundlagen und Praxis. Stuttgart: Enke, 1977
16. Richter D, Berger K. Determinanten der Patientenstruktur nach der Psychiatrie-Personalverordung. Zur Problematik des Vergleichs psychiatrischer Kliniken. Gesundh.-Wes. 58 (1996) 16-20
17. Richter D, Berger K, Eikelmann B. Was bestimmt den psychiatrischen Problempatienten? Ergebnisse einer Untersuchung zur Patienteneinstufung in der Psychiatrie-Personalverordnung. Fortschr. Neurol. Psychiatr. 67 (1999) 21-28
18. Fisher WH, Altaffer FB. Inpatient length of stay measures: Statistical and conceptual issues. Admin. Policy Mental Health 19 (1992) 311-320
19. Creed F, Tomenson B, Anthony P, Tramner M. Predicting length of stay in psychiatry. Psychol. Med. 27 (1997) 961-966
20. Parks ED, Josef N. A retrospective study of determinants of length of stay in a geropsychiatric state hospital. Psychiatric Q., 68 (1997) 91-99
21. Hamilton LC. Regression with Graphics: A Second Course in Applied Statistics. Wadsworth, Belmont, CA 1991
22. Greenland S. Introduction to Regression Modeling. In: Rothman KJ, Greenland S (Hrsg.). Philadelphia, Lippincott-Raven: Modern Epidemiology. 1998, 401-432
23. Scheytt D, Kaiser P, Priebe St. Behandlungsdauer und Fallkosten in unterschiedlichen stationären psychiatrischen Einrichtungen in Berlin. Psychiatr. Prax. 23 (1996) 10-14
24. Stoskopf C, Horn SD. The computerized Psychiatric Severity Index as a predictor of inpatient length of stay for psychoses. Med. Care 29 (1991) 179-195
25. McCrone P, Phelan M. Diagnosis and length of psychiatric in-patient stay. Psychol. Med. 24 (1994) 1025-1030
26. Creed F, Tomenson B, Anthony P, Tramner M. Predicting length of stay in psychiatry. Psychol. Med. 27 (1997) 961-966
27. Horn SD, Chambers AF, Sharkey PD, Horn RA. Psychiatric severity of illness. A case mix study. Med. Care 27 (1989) 69-84
28. Stoskopf C, Horn SD. The computerized Psychiatric Severity Index as a predictor of inpatient length of stay for psychoses. Med. Care 29 (1991) 179-195
29. Fortney JC, Booth BM, Smith GR. Variation among VA Hospitals in length of stay for treatment of depression. Psychiatr. Serv. 47 (1996) 608-613
30. Brock IP, Brown GR. Psychiatric length of stay determinants in a military medical center. Gen. Hosp. Psychiatry 15 (1993) 392-398
31. Russo J, Roy-Byrne P, Jaffe C, Ries R, Dagadakis Ch, Avery D. Psychiatric status, quality of life and level of care as predictors of outcomes of acute inpatient treatment. Psychiatr. Serv. 48 (1997) 1427-1438
32. Creed F, Tomenson B, Anthony P, Tramner M. Predicting length of stay in psychiatry. Psychol. Med. 27 (1997) 961-966
33. Parks ED, Josef N. A retrospective study of determinants of length of stay in a geropsychiatric state hospital. Psychiatric Q., 68 (1997) 91-99
34. Lyons JS, Mahoney MT, Larson DB. The attending psychiatrist as a predictor of length of stay. Hosp. Community Psychiatr. 42 (1991) 1064-1066
35. Richter D. Chronic mental illness and the limits of the biopsychosocial model. Medicine, Healthcare and Philosophy (im Druck).
36. Richter D, Eikelmann B. Das bio-psychosoziale Modell heute - Seine Auswirkungen auf Theorie und Behandlungspraxis der Psychiatrie. In: Eikelmann B, Reker T, Albers D (Hrsg.). Tagesklinische Behandlung in der Psychiatrie. Stuttgart: Enke (im Druck)
37. Choca JP, Peterson CA, Shanley LA, Richards H, Mangoubi E. Problems in using statistical models to predict psychiatric length of stay: An illustration. Hosp Community Psychiatr 39 (1988) 195-197
38. Horn SD. Chambers AF, Sharkey PD, Horn RA. Psychiatric severity of illness. A case mix study. Med. Care 27 (1989) 69-84
39. Fortney JC, Booth BM, Smith GR. Variation among VA Hospitals in length of stay for treatment of depression. Psychiatr. Serv. 47 (1996) 608-613
40. Light DW, Phipps EJ, Piper GE, Rissmiller DJ, Mobilio JN, Ranieri WF. Finding psychiatric diagnosis-related groups that work: A call for research. Am. J. Psychiatry 143 (1986) 622-624
41. McLellan AT, Woody GE, Metzger D et al. Evaluating the effectiveness of addictions treatments: Reasonable expectations, appropriate comparisons. Milbank Q. 74 (1996) 51-85
42. Gottheil E, McLellan AT, Druley KA. Length of stay, patient severity and treatment outcome. Sample data from the field of Alcoholism. J. Stud. Alcohol 53 (1992) 69-75
43. Moos RH, Pettit B, Gruber V. Longer episodes of community residential care reduce substance abuse patient's readmission rates. J. Stud. Alcohol 56 (1995) 433-443
44. Lyons JS, Mahoney MT, Doheny KM, Dworkin LN, Miller SI. The prediction of short-stay psychiatric inpatients. Admin. Policy Mental Health 23 (1995) 17-25
45. Richter D, Berger K, Eikelmann B. Was bestimmt den psychiatrischen Problempatienten? Ergebnisse einer Untersuchung zur Patienteneinstufung in der Psychiatrie-Personalverordnung. Fortschr. Neurol. Psychiatr. 67 (1999) 21-28
46. Healey A, Knapp M, Astin J et al. Cost-effectiveness evaluation of compliance therapy for people with psychosis. Br. J. Psychiatr. 172 (1998), 420-424
47. Eikelmann B. Sozialpsychiatrisches Basiswissen. Grundlagen und Praxis. Stuttgart: Enke, 1977