Institutions and services of psychiatric care in Saxony-Anhalt: assessment with the European Services Mapping Schedule

2003 ◽  
Vol 18 (3) ◽  
pp. 145-147 ◽  
Author(s):  
Peter Brieger ◽  
Fanny Wetzig ◽  
Felix M.. Böcker
Keyword(s):  
Private Practice ◽  
Outpatient Care ◽  
Regional Differences ◽  
Psychiatric Care ◽  
Social Contact ◽  
Paid Work ◽  
Day Hospital ◽  
Community Based ◽  
Federal States ◽  
Work Related

AbstractThis article describes and analyses the availability of outpatient, inpatient and community-based psychiatric care in Saxony-Anhalt, one of the federal states in the eastern part of Germany. The European Services Mapping Schedule was used to classify 365 institutions. Outpatient care was provided by an average of four private practice psychiatrists per 100 000 inhabitants, which is low when compared to the German average. Ten secure beds (fo-rensic), 48 acute beds, 13 elective beds and 13 day hospital places per 100 000 inhabitants were available for inpatient care. Non-acute non-hospital residential services with indefinite stay and with 24 h support amounted to 240 places per 100 000, with regional differences ranging from less than 100 to more than 1000. Other facilities offering paid work or work-related activities were scarce and some services providing structured activity or social contact were available only in urban agglomerations. Overall, psychiatric care in Saxony-Anhalt is fragmented as regards providers and funding.

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

scholarly journals Private in-patient psychiatry in the USA

2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff
Keyword(s):  
Managed Care ◽  
Healthcare System ◽  
Affordable Care Act ◽  
Private Practice ◽  
Psychiatric Care ◽  
Current System ◽  
Baby Boomer Generation ◽  
Current State ◽  
The Us ◽  
The Usa

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.

Validation of a Migraine Work and Productivity Loss Questionnaire for use in Migraine Studies

Cephalalgia ◽  
1999 ◽  
Vol 19 (5) ◽  
pp. 497-502 ◽  
Author(s):  
GM Davies ◽  
N Santanello ◽  
W Gerth ◽  
D Lerner ◽  
GA Block
Keyword(s):  
Functional Disability ◽  
Productivity Loss ◽  
Rapid Onset ◽  
Paid Work ◽  
Open Label ◽  
Migraine Therapy ◽  
Work Related ◽  
Productivity Losses ◽  
Open Label Extension ◽  
The Impact

Migraine symptoms and therapy side effects cause significant functional disability that can result in work and productivity losses. Effective, well-tolerated migraine therapy with rapid onset of relief could decrease work and productivity losses. The Migraine Work and Productivity Loss Questionnaire (MWPLQ) evaluates the impact of migraine and migraine therapy on paid work. Data from a randomized, open-label extension study were collected over 3 months. Migraineurs were randomized to either rizatriptan (5HT1B/1D receptor agonist) or their usual migraine therapy. Data were analyzed from 164 patients who experienced at least one work-related migraine. Internal consistency (Cronbach's α) for the work difficulty domains ranged from 0.80 to 0.95. Work loss and work difficulty were moderately correlated ( r=0.39-0.58) with migraine severity and functional ability. Differences were found favoring rizatriptan for absenteeism (1.3 vs 2.4 h), effectiveness at work (62% vs 49%), and difficulty with work-related tasks ( p < 0.01). The MWPLQ demonstrated favorable measurement characteristics in this study and could be an important research tool for future evaluations of migraine-related work disability.

scholarly journals Oncology Professional Services Agreements: A Model for Hospital Affiliation That Preserves Private Practice

2012 ◽  
Vol 8 (2) ◽  
pp. 74-78 ◽  
Author(s):  
Michael L. Blau
Keyword(s):  
Private Practice ◽  
Legal Aspects ◽  
Professional Services ◽  
Oncology Group ◽  
Community Based ◽  
Hospital Affiliation

Professional services agreements enable community-based oncology groups to affiliate with local hospitals in a win-win transaction that preserves a significant level of independence for the oncology group. This article describes the business and legal aspects of such agreements.

scholarly journals Admission profile: towards community based services

1992 ◽  
Vol 16 (6) ◽  
pp. 336-337
Author(s):  
R. S. Augustine ◽  
P. N. Kurian ◽  
A. Michael
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
General Practitioners ◽  
Psychiatric Care ◽  
Total Population ◽  
Mentally Handicapped ◽  
Community Based ◽  
Special Groups ◽  
First Contact ◽  
Community Based Services

This audit examined 65 consecutive admissions to a psychiatric hospital in the Irish Midlands over six months. The admissions came from a defined sector with a total population of 39,000. In the year prior to the study major changes in the delivery of psychiatric care in the sector were instituted. These changes included the introduction of admission guidelines and extra resources in the community. The general practitioners who see mental illness at first contact were informed of these changes. Attempts were made by the sector psychiatrist team to screen for appropriateness of admission with regard to the special groups such as alcoholics, the aged and the mentally handicapped.

Accessibility and pathways to psychiatric care in a community-based mental health system

2001 ◽  
Vol 36 (10) ◽  
pp. 500-507 ◽  
Author(s):  
F. Amaddeo ◽  
F. Zambello ◽  
M. Tansella ◽  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Community Based

Work, philosophy of

2018 ◽  
Author(s):  
Richard Arneson
Keyword(s):  
Spiritual Development ◽  
John Locke ◽  
Social Contact ◽  
The Self ◽  
Good Work ◽  
Property Ownership ◽  
Market Economies ◽  
Work Related ◽  
Occupational Life

Unlike play, work is activity that has to involve significant expenditure of effort and be directed toward some goal beyond enjoyment. The term ‘work’ is also used to signify an individual’s occupation, the means whereby they gain their livelihood. In modern market economies individuals contract to work for other individuals on specified terms. Beyond noting this formal freedom to choose how one shall work, critics of market economies have maintained that one’s occupation should be a realm of substantive freedom, in which work is freely chosen self-expression. Against this unalienated labour norm, others have held that the freedom of self-expression is one good among others that work can provide, such as lucrative pay, friendly social contact and the satisfaction of the self-support norm, and that none of these various work-related goods necessarily should have priority over others. Some philosophers place responsibility on society for providing opportunities for good work for all members of society; others hold that the responsibility for the quality of one’s occupational life appropriately falls on each individual alone. Finally, some theorists of work emphasize that performance of hard work renders one deserving of property ownership (John Locke) or enhances one’s spiritual development (Mahatma Gandhi).

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