Clinical trial NCT05240105: Evaluation of the "Platform Model" for Staffing in Psychiatric and Psychosomatic Clinics
Official title: Evaluation of the Suitability of the "Platform Model" as an Instrument for Staffing in Psychiatric and Psychosomatic Clinics (EPPIK) - Subproject Psychosomatics
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Psychosomatic Medicine
Lead sponsor: University Hospital Heidelberg
Sponsor class: OTHER
Collaborators: name: Deutsches Krankenhausinstitut
name: DGPPN
name: DGKJP
name: DGPM
name: Forum für Gesundheitswirtschaft gGmbH
First posted: 2022-02-15
Enrollment: 5961
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: nationwide German population of psychosomatic specialist clinics and departments at University hospitals, general hospitals, or psychiatric hospitals

Brief summary: This study aims to evaluate the so-called platform model and its suitability to determine staffing in hospitals for psychosomatic medicine and psychotherapy.

Detailed description: The aim of the study is to test the suitability of a structural model (so-called platform model) developed by a working group of various scientific societies and professional associations for staffing in psychosomatic medicine and psychotherapy. For this purpose, in three steps (1.) the four treatment clusters developed in the platform model will be quantified and empirically validated on the basis of the therapeutic services provided in health care practice; (2.) the current staffing for the four treatment clusters will be described ("as-is analysis"); and (3.) prototypical therapy plans will be developed as a basis for estimating the target staffing requirements. On this basis, a target staffing estimate will be made for all professional groups.

For the study, a total of 80 psychosomatic clinics from Germany will be randomly selected, belonging in equal parts to the groups of psychosomatic university clinics, psychosomatic specialist hospitals, and psychosomatic departments in somatic or in psychiatric hospitals. In addition, 20 day clinics are included. In these clinics, the structural framework conditions including staffing will be surveyed and the routine documentation of therapy units will be evaluated by cluster analysis in order to empirically validate the presumed treatment clusters and to describe the necessary staffing requirements.

The empirical examination and validation of the platform model, including the four assumed treatment clusters, has the potential to positively influence care practice in the long term by adjusting staffing levels in psychosomatic clinics to actual care requirements.

Eligibility criteria: Inclusion Criteria for Clinics:

* belong to the predefined nationwide population of psychosomatic specialist clinics and departments
* randomly selected for inclusion in the study,
* the clinic management (head physician or comparable) agrees to participation in the study
* possibility of electronic recording of the qualified therapy units for all treating professional groups.

Inclusion Criteria for Patients:

* patient treated in one of the selected clinics on the corresponding ward or day clinic
* at least 18 years old

Exclusion Criteria:

* none

Primary outcomes:
measure: Administered Treatments
timeFrame: Week one of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week two of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week three of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week four of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week five of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week six of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week seven of treatment: assessment of administered treatment units
measure: Administered Treatments
timeFrame: Week eight of treatment: assessment of administered treatment units
Secondary outcomes:
measure: HONOS - Health of the Nation Outcome Scales
timeFrame: administered once per patient at week one of treatment
Other outcomes:
Locations:
city: Heidelberg
country: Germany
facility: Simone University Jennissen
state: Baden-Württemberg
Study officials:
References: