Chancen Und Entwicklung Der Psychiatrischen Institutsambulanzen Das Psych Entgelt
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Chancen Und Entwicklung Der Psychiatrischen Institutsambulanzen
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Author : Claus Schildge
language : de
Publisher: Diplomica Verlag
Release Date : 2015-05
Chancen Und Entwicklung Der Psychiatrischen Institutsambulanzen written by Claus Schildge and has been published by Diplomica Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05 with Medical categories.
Die Idee der Psychiatrischen Institutsambulanzen als vorgeschaltete Ambulanz für psychiatrische Kliniken entstand bereits 1975 im Rahmen der Psychiatrie-Enquete. Grundgedanke war, die psychiatrische Versorgung nicht mehr wie zu der Zeit meist üblich in großen stationären Einrichtungen durchführen zu lassen, sondern gemeindenah und im Zusammenspiel mit dem Umfeld der betroffenen Patienten. Seitdem haben sich Psychiatrische Institutsambulanzen zu einem wichtigen Bestandteil der psychiatrischen Versorgung entwickelt, insbesondere für chronisch und schwer erkrankte Patienten. Stand in der Zeit von den 70er bis zu Ende der 90er Jahre der Aufbau von Strukturen nach den Vorgaben der Psychiatrie-Enquete im Vordergrund, so traten ab Anfang der 2000er Jahre neue wichtige Trends im Gesundheitswesen hinzu, die eine Auswirkung auch auf das psychiatrische Versorgungsgeschehen hatten. Bedingt durch die Zunahme psychiatrischer Erkrankungen in der Bevölkerung stellte sich im ambulanten Sektor eine Unterversorgung mit psychiatrischen und psychotherapeutischen Angeboten ein. Gleichzeitig stiegen die Zahlen der Krankenhausaufenthalte, der berufsbedingten Berentungen und der Arbeitsunfähigkeitstage und damit die volkswirtschaftlichen Kosten für psychische Erkrankungen signifikant an.
Chancen Und Entwicklung Der Psychiatrischen Institutsambulanzen Das Psych Entgelt
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Author : Claus Schildge
language : de
Publisher:
Release Date : 2015-03-16
Chancen Und Entwicklung Der Psychiatrischen Institutsambulanzen Das Psych Entgelt written by Claus Schildge and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-16 with categories.
Masterarbeit aus dem Jahr 2015 im Fachbereich VWL - Gesundheitsokonomie, Note: 3,0, Hochschule Fresenius; Koln, Veranstaltung: Management im Gesundheitswesen und Gesundheitsokonomie, Sprache: Deutsch, Abstract: Die Idee der Psychiatrischen Institutsambulanzen als vorgeschaltete Ambulanz fur psychiatrische Kliniken entstand bereits 1975 im Rahmen der Psychiatrie-Enquete. Grundgedanke war, die psychiatrische Versorgung nicht mehr wie zu der Zeit meist ublich in grossen stationaren Einrichtungen durchfuhren zu lassen, sondern gemeindenah und in Zusammenspiel mit dem Umfeld der betroffenen Patienten. Seitdem haben sich Psychiatrische Institutsambulanzen zu einem wichtigen Bestandteil der psychiatrischen Versorgung entwickelt, insbesondere fur chronisch und schwer erkrankte Patienten. Stand in der Zeit von den 70er bis zu Ende der 90er Jahre der Aufbau von Strukturen nach den Vorgaben der Psychiatrie-Enquete im Vordergrund, so traten ab Anfang der 2000er Jahre neue wichtige Trends im Gesundheitswesen hinzu, die eine Auswirkung auch auf das psychiatrische Versorgungsgeschehen hatten. Bedingt durch die Zunahme psychiatrischer Erkrankungen in der Bevolkerung stellte sich im ambulanten Sektor eine Unterversorgung mit psychiatrischen und psychotherapeutischen Angeboten ein. Gleichzeitig stiegen die Zahlen der Krankenhausaufenthalte, der berufsbedingten Berentungen und der Arbeitsunfahigkeitstage und damit die volkswirtschaftlichen Kosten fur psychische Erkrankungen signifikant an. 2009 wurde daher seitens des Gesetzgebers die Selbstverwaltung damit beauftragt, ein leistungsbezogenes pauschaliertes Entgelt fur stationare Aufenthalte in der Psychiatrie zu entwickeln. Mit diesen sog. PEPP wurde die Anreizstruktur fur die stationaren Leistungserbringer verandert und die Rahmenbedingungen fur eine starkere Leistungsbezogenheit der Vergutung und der Vergleichbarkeit von Einrichtungen untereinander geschaffen. Als weitere gesundheitspolitische Entwicklung zeigt der Bereich der Integr"
Neues Entgeltsystem In Der Psychiatrie Und Psychosomatik
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Author : Frank Studenski
language : de
Publisher: Springer-Verlag
Release Date : 2013-02-01
Neues Entgeltsystem In Der Psychiatrie Und Psychosomatik written by Frank Studenski and has been published by Springer-Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-02-01 with Business & Economics categories.
Mit der Verabschiedung des § 17d des Krankenhausentgeltgesetzes zur "Einführung eines pauschalierenden Entgeltsystems für psychiatrische und psychosomatische Einrichtungen" im Jahre 2009 wurde ein Systemwechsel der Vergütungsform und der Fallabbildung der psychiatrischen und psychosomatischen stationären Versorgung in Gang gesetzt. Die Autoren - allesamt erfahrede Managementmitarbeiter aus dem Gesundheitswesen - schildern ihre Erfahrungen bei der Entwicklung und Umsetzung der neuen Anforderungen an die Kliniken in der Einführungsphase. Das Ziel der Kosten- und Leistungstransparenz geht einher mit einem hohen Dokumentationsaufwand, der eine Reorganisation des Behandlungsmanagements und des Therapiealltags seitens der Leistungserbringer und der ökonomischen wie der personellen Führung mit sich bringt. Das neue Vergütungssystem für den Bereich der Psychiatrie und Psychosomatik soll ab 2013 optional und ab 2014 für alle Einrichtungen nach § 17d gelten. Zur Zielgruppe dieses Buches gehören die Entscheidungs- sowie die ausführenden Ebenen der betroffenen Gesundheitsunternehmen.
Psychiatrie 2020 Plus
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Author : Frank Schneider
language : de
Publisher: Springer-Verlag
Release Date : 2012-06-09
Psychiatrie 2020 Plus written by Frank Schneider and has been published by Springer-Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-09 with Medical categories.
Unter den medizinischen Disziplinen hat die Psychiatrie und Psychotherapie die größte Zukunft: In den letzten Jahrzehnten hat das Fach in Forschung und Versorgung Quantensprünge durchlaufen. Diese Entwicklung setzt sich fort. Herausforderungen sind die weitere Erforschung und der zunehmende Behandlungsbedarf im Bereich psychischer Erkrankungen. In dem Buch "Psychiatrie 2020" skizziert die Deutsche Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN) neben einer Übersicht über die Entwicklung des Faches eine Vision für das Jahr 2020. Psychiatrie 2020 plus, ist nun die erweiterte und aktualisierte Auflage der Bestandsaufnahme und Vision für das Jahr 2020.
The Patient Room
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Author : Wolfgang Sunder
language : en
Publisher: Birkhäuser
Release Date : 2020-12-07
The Patient Room written by Wolfgang Sunder and has been published by Birkhäuser this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-07 with Architecture categories.
The patient room is the smallest cell of the hospital organism. Its layout determines the structure of the ward and is therefore a decisive factor for the entire building. Many requirements have to be met. The patient's sense of well-being can be positively influenced by the design: homely materials, an attractive view and sufficient privacy are important objectives. Equally important are the working conditions for the staff, especially short distances and an efficient care routine. Finally, even the risk of infection can be reduced by a conscientiously planned room layout. This publication provides a systematic overview of the design task patient room and shows exemplary solutions: both typologically and in selected case studies.
Neuropsychotherapy
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Author : Klaus Grawe
language : en
Publisher: Routledge
Release Date : 2017-09-25
Neuropsychotherapy written by Klaus Grawe and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-25 with Medical categories.
Neuropsychotherapy is intended to inspire further development and continual empirical updating of consistency theory. It is essential for psychotherapists, psychotherapy researchers, clinical psychologists, psychiatrists, neuroscientists, and mental-health professionals. Profoundly important and innovative, this volume provides necessary know-how for professionals as it connects the findings of modern neuroscience to the insights of psychotherapy. Throughout the book, a new picture unfolds of the empirical grounds of effective psychotherapeutic work. Author Klaus Grawe articulates a comprehensive model of psychological functioning-consistency theory-and bridges the gap between the neurosciences and the understanding of psychological disorders and their treatment. Neuropsychotherapy illustrates that psychotherapy can be even more effective when it is grounded in a neuroscientific approach. Cutting across disciplines that are characteristically disparate, the book identifies the neural foundations of various disorders, suggests specific psychotherapeutic conclusions, and makes neuroscientific knowledge more accessible to psychotherapists. The book's discussion of consistency theory reveals the model is firmly connected to other psychological theoretical approaches, from control theory to cognitive-behavioral models to basic need theories.
The Stigma Of Mental Illness
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Author : Nicolas Ruesch
language : en
Publisher: Elsevier
Release Date : 2022-10
The Stigma Of Mental Illness written by Nicolas Ruesch and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-10 with categories.
People with mental illness are often painfully familiar with overt prejudice or more subtle forms of mistreatment. The stigma and discrimination associated with their disorders can have effects in several areas of life: in social interactions, in work and healthcare settings, in the legal system and the media. Many withdraw due to shame and do not seek help. In turn, stigma can prove to be a more serious problem than the disorder itself. Yet too little is done to reduce stigma and its impact. The Stigma of Mental Illness: Strategies Against Discrimination and Social Exclusion offers up the knowledge necessary to understand and fight against stigma and discrimination. It will be invaluable to all health professionals, social workers, healthcare managers and policy makers with an involvement or interest in mental illness. Broad coverage of the forms and consequences of stigma Specific treatment of stigma in relation to diagnoses such as dementia and autism Perspectives and strategies of a service user and a relative Up-to-date concepts regarding exclusion and discrimination Practical strategies for service users, relatives, healthcare professionals and policy makers
Philosophical Issues In Psychiatry Iv
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Author : Kenneth S. Kendler
language : en
Publisher: Oxford University Press
Release Date : 2017-04-06
Philosophical Issues In Psychiatry Iv written by Kenneth S. Kendler and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-06 with Medical categories.
The revisions of both DSM-IV and ICD-10 have again focused the interest of the field of psychiatry and clinical psychology on the issue of nosology. This interest has been further heightened by a series of controversies associated with the development of DSM-5 including the fate of proposed revisions of the personality disorders, bereavement, and the autism spectrum. Major debate arose within the DSM process about the criteria for changing criteria, leading to the creation of first the Scientific Review Committee and then a series of other oversight committees which weighed in on the final debates on the most controversial proposed additions to DSM-5, providing important influences on the final decisions. Contained within these debates were a range of conceptual and philosophical issues. Some of these - such as the definition of mental disorder or the problems of psychiatric “epidemics” - have been with the field for a long time. Others - the concept of epistemic iteration as a framework for the introduction of nosologic change - are quite new. This book reviews issues within psychiatric nosology from clinical, historical and particularly philosophical perspectives. The book brings together a range of distinguished authors - including major psychiatric researchers, clinicians, historians and especially nosologists - including several leaders of the DSM-5 effort and the DSM Steering Committee. It also includes contributions from psychologists with a special interest in psychiatric nosology and philosophers with a wide range of orientations. The book is organized into four major sections: The first explores the nature of psychiatric illness and the way in which it is defined, including clinical and psychometric perspectives. The second section examines problems in the reification of psychiatric diagnostic criteria, the problem of psychiatric epidemics, and the nature and definition of individual symptoms. The third section explores the concept of epistemic iteration as a possible governing conceptual framework for the revision efforts for official psychiatric nosologies such as DSM and ICD and the problems of validation of psychiatric diagnoses. The book ends by exploring how we might move from the descriptive to the etiologic in psychiatric diagnoses, the nature of progress in psychiatric research, and the possible benefits of moving to a living document (or continuous improvement) model for psychiatric nosologic systems. The result is a book that captures the dynamic cross-disciplinary interactions that characterize the best work in the philosophy of psychiatry.
I Am Not A Brain
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Author : Markus Gabriel
language : en
Publisher: John Wiley & Sons
Release Date : 2017-09-18
I Am Not A Brain written by Markus Gabriel and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-18 with Philosophy categories.
Many consider the nature of human consciousness to be one of the last great unsolved mysteries. Why should the light turn on, so to speak, in human beings at all? And how is the electrical storm of neurons under our skull connected with our consciousness? Is the self only our brain's user interface, a kind of stage on which a show is performed that we cannot freely direct? In this book, philosopher Markus Gabriel challenges an increasing trend in the sciences towards neurocentrism, a notion which rests on the assumption that the self is identical to the brain. Gabriel raises serious doubts as to whether we can know ourselves in this way. In a sharp critique of this approach, he presents a new defense of the free will and provides a timely introduction to philosophical thought about the self – all with verve, humor, and surprising insights. Gabriel criticizes the scientific image of the world and takes us on an eclectic journey of self-reflection by way of such concepts as self, consciousness, and freedom, with the aid of Kant, Schopenhauer, and Nagel but also Dr. Who, The Walking Dead, and Fargo.
Inflammation In Psychiatry
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Author : Angelos Halaris
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2013
Inflammation In Psychiatry written by Angelos Halaris and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Medical categories.
An innovative and integrative avenue toward understanding and treating mental health disorders Psychoimmunology is a rapidly maturing area of scientific endeavor that provides a compelling integrative link between the immune system and its response to stress and psychiatric illness. Stress initiates pathological changes by activating the immune and endocrine systems. Inflammation is at the core of the complex and interactive systems that both contribute to and result from psychopathology. Consequently, inflammation research advances our knowledge of the pathology of depression, schizophrenia, chronic fatigue syndrome, posttraumatic stress disorder and a host of co- morbid conditions, notably diabetes, cardiovascular disease and cerebrovascular disease. The possible mechanisms underlying the bidirectionality of co-morbid medical and psychiatric disorders can be viewed as a consequence of inflammatory changes. These emerging novel concepts illustrate how the knowledge of inflammation can enable meaningful integration of psychopathology with physical co- morbidity. The innovative articles in this volume highlight the intricate link between psychiatry and psychoimmunology and underscore the central role of inflammation in furthering our understanding of the pathophysiology underlying mental health and illness.