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  1. Analyse der psychiatrischen Krankenhausfälle in Hamburg 1988 - 1994 : Entwicklungstrends, Versorgungslücken und - perspektiven.

    Article - En allemand

    Traduction en anglais : Analysis of psychiatric inpatient treatment in Hamburg 1988-1994 : Development trends deficiencies and prospects.

    For the first time it was possible to study psychiatric in-patient treatment over a period of 7 years in a major German city (Hamburg) using data of 77% of all psychiatric inpatient cases collected by health insurance agencies.

    Among the most prominent results is the fact that 4 out of 8 illnesses with the highest sum of inpatient days of all treatment cases are psychiatric cases.

    These are schizophrenia, neurotic disorders, affective psychoses and alcohol abuse.

    Schizophrenia is the diagnosis which adds up to the highest amount of inpatient days in Hamburg hospitals.

    Of all psychiatric diagnoses, 35% show up in somatic departments, mainly internal medicine.

    This is especially true for alcohol and drug abuse, neurotic and personality disorders and organic psychoses.

    The greatest part of these cases were hospitalised for 0 to 3 days only, which points to the importance of crisis intervention provided by somatic departments.

    By introducing new offers of low threshold detoxification for drug abuse in psychiatry it was possible to increase the percentage of cases treated in psychiatry departments in the years 1993/94 as compared to 1988/89.

    During the same period the share of cases suffering from all kinds of psychoses decreased in psychiatry whereas the percentage of cases with drug abuse, neurotic and personality disorders rose. (...)

    Mots-clés Pascal : Trouble psychiatrique, Névrose, Schizophrénie, Alcoolisme, Psychose, Hospitalisation, Temps séjour, Médecine générale, Service hospitalier, Psychiatrie liaison, Hôpital général, Organisation santé, Système santé, Allemagne, Europe, Evolution, Statistique, Santé mentale, Homme

    Mots-clés Pascal anglais : Mental disorder, Neurosis, Schizophrenia, Alcoholism, Psychosis, Hospitalization, Residence time, Internal medicine, Hospital ward, Liaison psychiatry, General hospital, Public health organization, Health system, Germany, Europe, Evolution, Statistics, Mental health, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0433698

    Code Inist : 002B18H05B. Création : 19/12/1997.

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