PMID- 9885842
OWN - NLM
STAT- MEDLINE
DCOM- 19990316
LR  - 20061115
IS  - 0303-4259 (Print)
IS  - 0303-4259 (Linking)
VI  - 25
IP  - 6
DP  - 1998 Nov
TI  - [Quality assurance in the psychiatric clinic. How can therapy outcome be assessed 
      in a preferably easy manner?].
PG  - 291-5
AB  - PURPOSE: The German Social law requires quality assurance of inpatient treatment, 
      i.e. of the quality of therapy, allowing the comparison of different hospitals. 
      METHODS: Since easy administrable assessment instruments are required, in this 
      study (part of a greater survey on quality assurance at the Department of 
      Psychiatry in Luebeck) a global self-rating by means of a visual analog scale 
      (VAS) and the GAF (Global Assessment of Function) were compared with the ratings 
      on the SCL-90-R scale in 386 psychiatric inpatients (mean age: 44.0 +/- 15.2 
      years). RESULTS: The comparison of the values on admission and at discharge 
      yielded good correlations between the global VAS-value and the SCL-90-R symptom 
      scores only at discharge. As parameter of therapeutic efficacy the difference of 
      the scores on admission and at discharge was calculated. While the global 
      self-rating (VAS) correlated well with the SCL-90-R scores, no relationship 
      between the GAF-scores and the SCL-90-R scores were found. Schizophrenics and 
      patients suffering behaviour or personality disorders often showed discrepancies 
      of the self- and the therapist rating. CONCLUSIONS: These discrepancies offer 
      some hints for the identification of problematic patients. However, the global 
      assessment of therapeutic efficacy often yield controversial results, if the 
      limits of such scores are not considered.
FAU - Wetterling, T
AU  - Wetterling T
AD  - Klinik fur Psychiatrie und Psychotherapie I Johann-Wolfgang-Goethe-Universitat, 
      Frankfurt/Main.
FAU - Junghanns, K
AU  - Junghanns K
FAU - Dilling, H
AU  - Dilling H
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Qualitatssicherung in der psychiatrischen Klinik. Wie konnen die 
      Therapieergebnisse moglichst einfach erfasst werden?
PL  - Germany
TA  - Psychiatr Prax
JT  - Psychiatrische Praxis
JID - 0423204
SB  - IM
MH  - Activities of Daily Living/classification
MH  - Adult
MH  - Aged
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Mental Disorders/*rehabilitation
MH  - Middle Aged
MH  - Pain Measurement
MH  - Patient Discharge
MH  - *Psychiatric Department, Hospital
MH  - *Quality Assurance, Health Care
MH  - Treatment Outcome
EDAT- 1999/01/14 00:00
MHDA- 1999/01/14 00:01
CRDT- 1999/01/14 00:00
PHST- 1999/01/14 00:00 [pubmed]
PHST- 1999/01/14 00:01 [medline]
PHST- 1999/01/14 00:00 [entrez]
PST - ppublish
SO  - Psychiatr Prax. 1998 Nov;25(6):291-5.