A work time study analysing differences in resource use between psychiatric inpatients

Social Psychiatry and Psychiatric Epidemiology
J WolffClaus Normann

Abstract

Judgement about the adequacy of reimbursement schemes requires an understanding of differences in resource use between patient groups. The aim of this study was to analyse staff time allocation of psychiatrists, psychologists and nurses in inpatient mental health care and to use these data to analyse differences in per diem resource use between patient groups. A self-reporting work-sampling study was carried out at a psychiatric teaching hospital. All of 36 psychiatrists, 23 psychologists and 106 nurses involved in clinical care during the study period participated in a two-week measurement of their work time. A total of 20,380 observations were collected, representing about 10,190 h of work or 6.2 full-time-equivalent years. The average resource use in minutes of staff time per patient day was 227 min, representing 138 <euro> of staff costs. The most resource intensive care was provided at the Psychiatric Intensive Care Unit and for geriatric patients with 334 and 266 min per patient day (192 and 162 <euro>), respectively. The least resource intensive care was provided for patients with substance-related disorders (197 min, 116 <euro>). Substantial shares of clinical work time were dedicated to tasks without patient contact (5...Continue Reading

References

Nov 1, 1994·Psychological Medicine·P McCrone, M Phelan
May 4, 2005·Annals of Internal Medicine·René AmalbertiPaul Barach
Dec 18, 2013·Epidemiology and Psychiatric Sciences·J WolffA Patel
Mar 26, 2014·PloS One·Jan WolffUlrich Wetterauer

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Citations

Jul 22, 2016·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Michael LöhrGereon Heuft
Apr 1, 2016·PloS One·Jan WolffClaus Normann
Mar 25, 2017·International Journal of Environmental Research and Public Health·Coralie GandréKarine Chevreul
Nov 11, 2017·Deutsches Ärzteblatt International·Jan WolffMathias Berger

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