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Psychiatry Clinic
of Tartu University Hospital
Sven Janno MD, PhD
Senior psychiatrist
Head of the acute department
Psychiatry Clinic
of Tartu University Hospital
• History
• Catchment area
• Structure/organisation
• Services’ profile
• Patients’ profile
• Funding
History
• Initiator E. von Wahl
• 04.03.1877
History
• First psychiatrist
Alexander von Bunge
History
• “Old House” 16.04.1881 – 18.11.1988
Emil Kraepelin
23.08.1886 - 21.03.1891
Catchment area (population in the year 2010)
1. Primary (44%) 310774• Tartu 150 074
• Jõgeva 36 671
• Põlva 30 889
• Võru 37 693
• Viljandi 55 447
2. Secondary (12%) 235622• Ida-Viru 168 656
• Lääne-Viru 66 966
Structure/organisation
• Administration
• Departments
– Acute Psychiatry
– General Psychiatry
– Child and Adolescence Psychiatry
All wards are dealing both with inpatients and outpatients
+21,8
Personnel of Psychiatry ClinicNumber of full time positions – 129.75 (2010)
Number of employees - 183 (2010)
Age of psychiatrists
0
2
4
6
8
10
12
14
15 - 24 25 - 29 30 - 34 35 - 39 40 - 49 50 - 54 55 - 59 60 - 69 70 - 90
2009.a.
2010.a.
Structure of inpatient care(totally 86 hospital beds)
Acute
Department
Psychiatry
DepartmentChild and
Adolescence
Psychiatry
Sleeping disorders,
sleep lab /2
Eating disorders
/10
General psychiatry/25
Children/10
Adolescents/4
Addiction disorders/2
Emergency room- 24/7
Acute ward for men/9
Acute ward for
women /8
Subacute ward/18
Services
• Treatment (out- and inpatient)
• Teaching (trainees, students)
• Forensic psychiatry
Outpatients’ diagnoses
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
F9
F8
F7
F6
F5
F4
F3
F2
F1
F0
G
Inpatients’ diagnoses
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2003 2004 2005 2006 2007 2008 2009 2010
F9
F8
F7
F6
F5
F4
F3
F2
F1
F0
G
Inpatients F10(number of cases)
0
50
100
150
200
250
2003 2004 2005 2006 2007 2008 2009 2010
F10.3
F10.4
F10.5
Inpatients F2(number of cases)
0
100
200
300
400
500
600
2003 2004 2005 2006 2007 2008 2009 2010
F2
F20
F21
F22
F23
Inpatients F3/F4 (number of cases)
0
50
100
150
200
250
300
350
400
450
500
2003 2004 2005 2006 2007 2008 2009 2010
F32/F33
F31
F4
Mean time in
hospital
according to
diagnoses
Tartu vs
Tallinn
2009-2010
14,0
5,9
24,4
14,9
10,6
19,9
13,3
11,1
11,7
11,0
19,7
7,0
29,8
17,6
13,8
11,9
13,2
15,8
15,0
14,0
0 5 10 15 20 25 30 35
Orgaanilised psüühikahäired
Psühhoaktiivsete ainete tarvitamisest tingitud
psüühika- ja käitumishäired
Skisofreenia, skisotüüpsed ja luululised
häired
Meeleoluhäired
Neurootilised, stressiga seotud ja
somatoformsed häired
Psüühika- ja käitumishäired füsioloogilise
düsfunktsiooniga (söömishäired, unehäired)
Täiskasvanu isiksus- ja käitumishäired
Vaimne alaareng
Psühholoogilise arengu häired
Tavaliselt lapseeas alanud käitumis- ja
tundeeluhäired
PERH PS 2010
PERH PS 2009
TÜK PS 2010
TÜK PS 2009
F9
F8
F7
F6
F5
F4
F3
F2
F1
F0
Mean time patients are staying in
the hospital
5,0
10,0
15,0
20,0
25,0
30,0
2006 2007 2008 2009 2010
Akuutpsühhiaatria
osakond
Psühhiaatriaosakond
Lasteosakond
Psühhiaatriakliinik
Psühhiaatriaosakonna
söömishäirete keskus
Acute
Department
Psychiatry
Department
Department of
children
Psychiatry
Clinic
Eating
Disorders
Mean inpatient case cost (€)
24 707
19 951
27 155
20 886
0
5 000
10 000
15 000
20 000
25 000
30 000
PERH psühhiaatriakliinik Kliinikumi psühhiaatriakliinik
2 009
2 010
13351275
1735
1579
Tallinn Tartu
Outpatient number
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
F
Z
SUM
Outpatients’ visits
0
5 000
10 000
15 000
20 000
25 000
30 000
35 000
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Arsti vastuvõtte kokku akuutosakond
psühhiaatriaosakond lasteosakond
All
Psychiatry
department
Acute department
Children
Income and expenditures (€)
0
500 000
1 000 000
1 500 000
2 000 000
2 500 000
3 000 000
3 500 000
4 000 000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Income
Expenditures
Finances
• Income
– Health Insurance Fund
87%
– Medical services to
other institutions 4%
– Other services 8%
• Expenditures
– Personnel 66%
– Medical services,
material 10%
– Other (heating etc)
24%