[Psychopathological syndromes according to the AMDP-system as the foundation for clinical case grouping in psychiatry].

Abstract:

OBJECTIVE:Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD:We investigated whether classical psychopathological syndromes according to the AMDP-System at admission would predict the variation of length of hospital stay. Using linear regressions with forward elimination, we analyzed the predictive value of the AMDP syndromes, and also of global assessment of functioning, illness severity and certain sociodemographic factors for the length of stay. RESULTS:Together with clinical and sociodemographic factors, we found a variance estimation of 20 %. CONCLUSIONS:Our pilot study does not imply AMDP syndromes to be suitable for a case grouping to estimate costs. Other analytical approaches using AMDP syndromes may lead to a better prediction, however, its use shall be regarded critically.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Herwig U,Warnke I,Rössler W

doi

10.1055/s-0029-1220355

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

320-6

issue

7

eissn

0303-4259

issn

1439-0876

journal_volume

36

pub_type

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