PMID- 11357445
OWN - NLM
STAT- MEDLINE
DCOM- 20010726
LR  - 20221207
IS  - 0085-4530 (Print)
IS  - 0085-4530 (Linking)
VI  - 30
IP  - 4
DP  - 2001 Apr
TI  - [Diagnostic control. Psychiatric comorbidity in patients of technical orthopedic 
      units].
PG  - 236-41
AB  - Because of the new hospital finance law a DRG (Diagnosis Related Groups) 
      controlled discount liquidation under consideration of the medical impairment 
      becomes necessary. In this paper the importance of a correct and complete 
      description of the psychic comorbidity for the development of German-Refined-DRGs 
      (GR-DRGs) in the orthopedic field is described. Therefore we analysed data of 
      orthopedic in-patients, who are diagnosed by consultation of the clinic for 
      psychosomatics and psychotherapy. A psychic comorbidity (ICD-10 Chapter F (V)) 
      was diagnosed by 95% of the consulted patient. 30% of the patients showed 
      difficulties in coping with their disease. 40% suffered from chronical 
      psychoneurotic patterns and conflicts, which can be explained (a) as consequence 
      of a difficult psychosocial adaptation by chronic disease or after an amputation 
      (b) as basic mental disorders (c) as cause of the orthopaedic complications. 
      Therefore the number of indications for a psychotherapeutic or psychiatric 
      treatment is very high. The knowledge about a psychic comorbidity can--beside 
      financial aspects--help the team on the orthopaedic station in the treatment of 
      difficult patient.
FAU - Lange, C
AU  - Lange C
AD  - Klinik und Poliklinik fur Psychosomatik und Psychotherapie, Universitatsklinikum 
      Munster, Domagkstrasse 22, 48129 Munster. langeco@medsnt01.uni-muenster.de
FAU - Heuft, G
AU  - Heuft G
FAU - Wetz, H H
AU  - Wetz HH
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Diagnose-Controlling. Psychische Komorbiditat bei Patienten der Technischen 
      Orthopadie.
PL  - Germany
TA  - Orthopade
JT  - Der Orthopade
JID - 0331266
SB  - IM
MH  - Adaptation, Psychological
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Amputation, Surgical/psychology
MH  - Comorbidity
MH  - *Diagnosis-Related Groups/economics
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures/economics/*psychology
MH  - Patient Care Team/economics
MH  - Psychophysiologic Disorders/*diagnosis/economics/psychology
MH  - Psychotherapy/economics
MH  - Referral and Consultation/economics
MH  - Risk Factors
MH  - Sick Role
MH  - Somatoform Disorders/*diagnosis/economics/psychology
EDAT- 2001/05/19 10:00
MHDA- 2001/07/28 10:01
CRDT- 2001/05/19 10:00
PHST- 2001/05/19 10:00 [pubmed]
PHST- 2001/07/28 10:01 [medline]
PHST- 2001/05/19 10:00 [entrez]
AID - 10.1007/s001320050602 [doi]
PST - ppublish
SO  - Orthopade. 2001 Apr;30(4):236-41. doi: 10.1007/s001320050602.