scholarly journals Flexible and Integrative Psychiatric Care Based on a Global Treatment Budget: Comparing the Implementation in Germany and Poland

2022 ◽  
Vol 12 ◽  
Author(s):  
Julian Schwarz ◽  
Andrzej Cechnicki ◽  
Jan Godyń ◽  
Laura Galbusera ◽  
Daria Biechowska ◽  
...  
Keyword(s):  
Psychiatric Care ◽  
Qualitative Interviews ◽  
Hospital Services ◽  
Statistical Parameters ◽  
The Past ◽  
Specific Program ◽  
Welfare Institutions ◽  
Catchment Areas ◽  
Regional Population ◽  
Program Components

Background: The past decade has witnessed the establishment of flexible and integrative treatment (FIT) models in 55 German and Polish psychiatric catchment areas. FIT is based on a global treatment budget (GTB), which integrates funding of all acute psychiatric hospital services for a regional population. Prior research has identified 11 specific program components of FIT in Germany. In this paper we aim at assessing the applicability of these components to the Polish context and at comparatively analysing FIT implementation in Poland and Germany.Methods: Qualitative interviews about the applicability of the 11 FIT-specific components were conducted with the program managers of the Polish FIT models (n = 19). Semi-quantitative data on the FIT-specific components were then collected in 19 Polish and 10 German FIT models. We assessed the grading of each component, their overall degree of implementation and compared them between the two countries. In all study hospitals, structural and statistical parameters of service delivery were collected and compared.Results: The qualitative results showed that the German FIT-specific components are in principle applicable to the polish context. This allowed the comparative assessment of components grading and degree of implementation, which showed only subtle discrepancies between German and Polish FIT models. The little discrepancies point to specific aspects of care such as home treatment, peer support, and cooperation with non-clinical and social welfare institutions that should be further integrated in the components' definition.Conclusions: The specific program components of FIT as first defined from the German experience, serves as a powerful tool to measure, and evaluate implementation of integrated psychiatric care both within and between health systems.

scholarly journals Quantified Nostalgia: Social Media, Metrics, and Memory

2021 ◽  
Vol 7 (2) ◽  
pp. 205630512110088
Author(s):  
Benjamin N. Jacobsen ◽  
David Beer
Keyword(s):  
Social Media ◽  
Focus Group ◽  
Qualitative Interviews ◽  
The Past ◽  
Group Data ◽  
Focus Group Data ◽  
Social Media Platforms ◽  
Memory Practices ◽  
The Relationship

As social media platforms have developed over the past decade, they are no longer simply sites for interactions and networked sociality; they also now facilitate backwards glances to previous times, moments, and events. Users’ past content is turned into definable objects that can be scored, rated, and resurfaced as “memories.” There is, then, a need to understand how metrics have come to shape digital and social media memory practices, and how the relationship between memory, data, and metrics can be further understood. This article seeks to outline some of the relations between social media, metrics, and memory. It examines how metrics shape remembrance of the past within social media. Drawing on qualitative interviews as well as focus group data, the article examines the ways in which metrics are implicated in memory making and memory practices. This article explores the effect of social media “likes” on people’s memory attachments and emotional associations with the past. The article then examines how memory features incentivize users to keep remembering through accumulation. It also examines how numerating engagements leads to a sense of competition in how the digital past is approached and experienced. Finally, the article explores the tensions that arise in quantifying people’s engagements with their memories. This article proposes the notion of quantified nostalgia in order to examine how metrics are variously performative in memory making, and how regimes of ordinary measures can figure in the engagement and reconstruction of the digital past in multiple ways.

scholarly journals A new diatom training set for the reconstruction of past water pH in the Tatra Mountain lakes

2021 ◽  
Author(s):  
Elwira Sienkiewicz ◽  
Michał Gąsiorowski ◽  
Ladislav Hamerlík ◽  
Peter Bitušík ◽  
Joanna Stańczak
Keyword(s):  
Surface Sediments ◽  
Tatra Mountains ◽  
Training Set ◽  
Statistical Parameters ◽  
The Past ◽  
Water Ph ◽  
Inferred Ph ◽  
The 1960S ◽  
The Tatra Mountains ◽  
The Relationship

AbstractLakes located in the Polish and Slovak parts of the Tatra Mountains were included in the Tatra diatom database (POL_SLOV training set). The relationship between the diatoms and the water chemistry in the surface sediments of 33 lakes was the basis for the statistical and numerical techniques for quantitative pH reconstruction. The reconstruction of the past water pH was performed using the alpine (AL:PE) and POL_SLOV training sets to compare the reliability of the databases for the Tatra lakes. The results showed that the POL_SLOV training set had better statistical parameters (R2 higher by 0.16, RMSE and max. bias lower by 0.2 and 0.36, respectively) compared to the AL:PE training set. The better performance of the POL_SLOV training set is particularly visible in the case of Przedni Staw Polski where the curve of the inferred water pH shows an opposite trend for the period from the 1960s to 1990 compared to that based on the AL:PE dataset. The reliability of the inferred pH was confirmed by the comparison with current instrumental measurements.

Professional judgements of risk and capacity in situations of self-neglect among older people

2010 ◽  
Vol 30 (6) ◽  
pp. 1055-1072 ◽  
Author(s):  
SHANNON MCDERMOTT
Keyword(s):  
Critical Theory ◽  
Older People ◽  
Cultural Context ◽  
Sociological Theory ◽  
Qualitative Interviews ◽  
Medical Illness ◽  
The Past ◽  
The Social ◽  
Professional Intervention ◽  
Sydney Australia

ABSTRACTOver the past 50 years, self-neglect among older people has been conceptualised in both social policy and the academy as a social problem which is defined in relation to medical illness and requires professional intervention. Few authors, however, have analysed the concept of self-neglect in relation to critical sociological theory. This is problematic because professional judgements, which provide the impetus for intervention, are inherently influenced by the social and cultural context. The purpose of this article is to use critical theory as a framework for interpreting the findings from a qualitative study which explored judgements in relation to older people in situations of self-neglect made by professionals. Two types of data were collected. There were 125 hours of observations at meetings and home assessments conducted by professionals associated with the Community Options Programme in Sydney, Australia, and 18 professionals who worked with self-neglecting older people in the community gave in-depth qualitative interviews. The findings show that professional judgements of self-neglect focus on risk and capacity, and that these perceptions influence when and how interventions occur. The assumptions upon which professional judgements are based are then further analysed in relation to critical theory.

scholarly journals Number of long-term inpatients in Japanese psychiatric care beds: trend analysis from the Patient Survey and the 630 Survey

2020 ◽  
Author(s):  
Tatsushi Okayama ◽  
Kentaro Usuda ◽  
Emi Okazaki ◽  
Yoshio Yamanouchi
Keyword(s):  
Mental Illness ◽  
Psychiatric Care ◽  
Patient Survey ◽  
Multifaceted Approach ◽  
The Past ◽  
Natural Decrease ◽  
Hospital Bed ◽  
The Mean ◽  
Using Data

Abstract BackgroundThe number of psychiatric care beds and the mean length of stay in psychiatric care beds in Japan have decreased over the past 10 years. However, as has long been indicated here and elsewhere, Japan lags behind other countries in terms of deinstitutionalization. Furthermore, the population of inpatients in psychiatric care beds is aging dramatically. In addition to the diversification of mental illness, the question of what measures to implement going forward regarding current psychiatric bed resources has emerged as a new challenge.MethodsUsing data from the Patient Survey and the 630 Survey, we examined trends in the number of long-term inpatients in psychiatric care beds in Japan through 2040. Population estimation was used for estimating long-term hospital bed demand because of small fluctuations in the admission and discharge of long-term inpatients.ResultsIn 2017, nearly one-third of all long-term hospitalized patients were aged ≥75 years, and an estimated 47% of the total are expected to die by 2040. Thus, the overall demand for long-term hospitalization is forecast to decrease sharply due to aging of currently hospitalized long-term inpatients. The number of long-term inpatients in 2017 was 167,579, and this is projected to decrease to 103,141 in 2040.ConclusionsWe believe it is necessary to adopt a multifaceted approach to promote hospital discharge and transition to the community, and to address the diversification of mental illness and the issue of psychiatric care bed supply/availability, which are forecast to decrease due to the natural decrease in long-term inpatients.

scholarly journals Catchment areas: A model for the future or a relic of the past?

1995 ◽  
Vol 19 (6) ◽  
pp. 340-342
Author(s):  
John M. Kellett
Keyword(s):  
Primary Care ◽  
Catchment Area ◽  
Geriatric Medicine ◽  
The Past ◽  
Restrictive Practice ◽  
Primary Care Teams ◽  
Specialist Services ◽  
Catchment Areas ◽  
The Future

The shift of power from specialist services to the primary care teams has forced the former to examine the value of their hallowed traditions. In psychiatry, and geriatric medicine, the catchment area is a favoured restrictive practice, enabling demand to be regulated to suit the resources of each team. It is time to decide whether this is a practice to be defended and retained or whether, like many other restrictive practices, it is harmful to the consumer.

Kuwait is the Past, Dubai is the Present, Doha is the Future

2015 ◽  
Vol 6 (2) ◽  
pp. 51-64 ◽  
Author(s):  
Julia Gremm ◽  
Julia Barth ◽  
Wolfgang G. Stock
Keyword(s):  
United Arab Emirates ◽  
Oil And Gas ◽  
Qualitative Interviews ◽  
Knowledge Society ◽  
Abu Dhabi ◽  
Gulf Region ◽  
Quantitative Survey ◽  
The Past ◽  
The World ◽  
The Future

Many cities in the world define themselves as ‘smart.' Is this term appropriate for cities in the emergent Gulf region? This article investigates seven Gulf cities (Kuwait City, Manama, Doha, Abu Dhabi, Dubai, Sharjah, and Muscat) that have once grown rich due to large reserves of oil and gas. Now, with the threat of ending resources, governments focus on the development towards a knowledge society. The authors analyzed the cities in terms of their ‘smartness' or ‘informativeness' by a quantitative survey and by in-depth qualitative interviews (N = 34). Especially Doha in Qatar is well on its way towards an informational city, but also Dubai and Sharjah (both in the United Arab Emirates) make good scores.

scholarly journals Number of long-term inpatients in Japanese psychiatric care beds: trend analysis from the patient survey and the 630 survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tatsushi Okayama ◽  
Kentaro Usuda ◽  
Emi Okazaki ◽  
Yoshio Yamanouchi
Keyword(s):  
Mental Illness ◽  
Psychiatric Care ◽  
Patient Survey ◽  
Multifaceted Approach ◽  
The Past ◽  
Natural Decrease ◽  
Hospital Bed ◽  
The Mean ◽  
Using Data

Abstract Background The number of psychiatric care beds and the mean length of stay in psychiatric care beds in Japan have decreased over the past 10 years. However, as has long been indicated here and elsewhere, Japan lags behind other countries in terms of deinstitutionalization. Furthermore, the population of inpatients in psychiatric care beds is aging dramatically. In addition to the diversification of mental illness, the question of what measures to implement going forward regarding current psychiatric bed resources has emerged as a new challenge. Methods Using data from the Patient Survey and the 630 Survey, we examined trends in the number of long-term inpatients in psychiatric care beds in Japan through 2040. Population estimation was used for estimating long-term hospital bed demand because of small fluctuations in the admission and discharge of long-term inpatients. Results In 2017, nearly one-third of all long-term hospitalized patients were aged ≥75 years, and an estimated 47% of the total are expected to die by 2040. Thus, the overall demand for long-term hospitalization is forecast to decrease sharply due to aging of currently hospitalized long-term inpatients. The number of long-term inpatients in 2017 was 167,579, and this is projected to decrease to 103,141 in 2040. Conclusions We believe it is necessary to adopt a multifaceted approach to promote hospital discharge and transition to the community, and to address the diversification of mental illness and the issue of psychiatric care bed supply/availability, which are forecast to decrease due to the natural decrease in long-term inpatients.

The significance of small things for dignity in psychiatric care

2014 ◽  
Vol 22 (7) ◽  
pp. 754-764 ◽  
Author(s):  
Frode Skorpen ◽  
Arne Rehnsfeldt ◽  
Arlene Arstad Thorsen
Keyword(s):  
Psychiatric Care ◽  
Methodological Approach ◽  
Qualitative Interviews ◽  
Psychiatric Hospitals ◽  
Main Theme ◽  
Protection Agency ◽  
Staff Members ◽  
Regional Committee ◽  
Small Things ◽  
Medical Research Ethics

Background: This study is based on the ontological assumption about human interdependence, and also on earlier research, which has shown that patients in psychiatric hospitals and their relatives experience suffering and indignity. Aim: The aim of this study is to explore the experience of patients and relatives regarding respect for dignity following admission to a psychiatric unit. Research design: The methodological approach is a phenomenological hermeneutic method. Participants and research context: This study is based on qualitative interviews conducted with six patients at a psychiatric hospital and five relatives of patients who experienced psychosis. Ethical consideration: Permission was given by the Regional Committee for Medical Research Ethics in Western Norway, the Norwegian Data Protection Agency and all wards within the hospital in which the patients were interviewed. Findings: The analysis revealed one main theme: ‘The significance of small things for experiencing dignity’ and four subthemes described as follows - ‘to be conscious of small things’, ‘being conscious of what one says’, ‘being met’ and ‘to be aware of personal chemistry’. Discussion and conclusion: Staff members seem not to give enough attention to the importance of these small things. Staff members need to explore this phenomenon systematically and expand their own understanding of it.

scholarly journals Hospital services in Tasmania

2002 ◽  
Vol 25 (1) ◽  
pp. 141 ◽  
Author(s):  
Stephen Duckett ◽  
Paul Geeves ◽  
Lawrence Kinne ◽  
Kevin Ratcliffe
Keyword(s):  
Health Professional ◽  
Hospital Services ◽  
Public Provision ◽  
Public And Private ◽  
The Past ◽  
The Relationship ◽  
Base Range

Tasmania's hospitals, as in most jurisdictions in Australia, have been undergoing significant changes in organisational basis, type of funding base, range and distribution of services and funding models over the past decade. There has been a return from regional to statewide reporting and accountability. There is a greater diversity of funding types, from pure public provision through co-location of public and private facilities, to thecontracting-out of hospital and rehabilitation sevices to market providers. The development of telehealthtechnology is also adding new facets to the relationship between health professional, client/patient and the state.Given these changes, the account of Tasmania's hospitals given here is necessarily that of a snapshot in a dynamicorganisational landscape.

scholarly journals Patients’ opinions of psychiatric care: a Swedish study

2004 ◽  
Vol 1 (5) ◽  
pp. 7-8
Author(s):  
Håkan Johansson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Assurance ◽  
Psychiatric Care ◽  
Satisfaction With Care ◽  
Evidence Based ◽  
Health Care Administrators ◽  
Evidence Based Treatment ◽  
Patients Satisfaction ◽  
The Past

Over the past few decades, health care as a whole and psychiatry specifically have evolved as a result of various societal influences. Quality assurance, evidence-based treatment and patients’ satisfaction with care are all examples of such trends. In Sweden, the patients’ satisfaction with care has become the concern both of researchers and of mental health care administrators. This may be a result of changed social norms and of the relatively recent apprehension of patients’ wish to participate in their own health care.

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