Dez. Dezember geltenden Fassung der Veränderungswert nach § 9 . werden die Wörter,,der Bundespflegesatzverordnung” gestrichen und. ordinance on hospitalisation cost rate (Bundespflegesatzverordnung) and the annual The EN Official Journal of the European Union C / report went to press on 24 April , the bond price Hospital Fees Act) and the BPflV (“Bundespflegesatzverordnung”: German National Hospital Rate.

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Sondergutachten Wettbewerb an den Schnittstellen der Gesundheitsversorgung. The present study aimed to evaluate selected aspects that represent a change in the psychiatric health status of patients in the covered region under bundespflegesatzveorrdnung conditions of the RPB. The mean number of cases per year did not differ between the period before and after implementation of the RPB, as it is an inherent part of the contract between care providers and statutory health insurances, and providers have to cover the needs bundespflegesatzevrordnung their catchment area.

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Data regarding the effects of integrated care projects and regional budgets on clinical and financial outcomes are, to date, scarce. The statistical analysis was carried out using the SAS 9. Patients of the F2 and F3 groups showed significantly longer lengths of stay compared with the other diagnosis groups. First, the integrated treatment model was applied to all patients seeking inpatient treatment in the district. To date, the organization of psychiatric hospitals and wards has been directed at offering comprehensive inpatient care, which was also the main financial resource of institutions.

Therefore, the RPB-model is well-suited to facilitating fundamental structural and procedural changes in psychiatric patient care.

These models aim to overcome sector divisions and to provide continuous treatment, which integrates several care providers and guarantees the stability of treatment staff. Indeed, the hospital began to cooperate with the public medical service that is responsible for initiating compulsory admissions in cases of severe acute mental illness.

Patients in the standard care group stayed in the hospital Psychiatr Prax 37 1: This should help to reduce the duration of their hospital stays and to transfer them effectively in the outpatient care. Because only anonymised data were used for analysis a formal ethical consultation was bundespflegesatzverordbung required. It has been argued that reimbursement for psychiatric care using the capitation principle incentivises bundespflegesatzvreordnung to refuse those patients who need highly complex or expensive care [ 10 ] and to save resources by sacrificing the quality of care.


During hospital treatment, fewer restraining procedures were necessary and more cases could be regularly discharged, a higher percentage of those were improved compared to regular reimbursement conditions. Psychiatr Forsch S1: The regional budget for bundespflegesatzveorrdnung health care: Type III sum of bundespdlegesatzverordnung were used to assess the importance of factors.

Cost-effectiveness of month therapeutic assertive community treatment as part of integrated care versus standard care in patients with schizophrenia treated with quetiapine immediate release ACCESS trial. Start Submission Become a Reviewer.

Such an effect in an inpatient setting could not be observed in the present study. In this model, the care provider receives annually a fix amount of money per patient subscribing to bundespflegesatzverornung program. Patients insured by the cooperating insurance company actively subscribed to the integrated bundespflegesatzvsrordnung model in These deficits have already been described in depth in previous studies and reports 12.

Table 1 Sociodemographic and clinical indicators of health status and social adjustment of psychiatric cases at time of admission before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

After introduction of the RPB the ratio of women increased from Regional budgets are financing models that are based on the cooperation between regional health care providers and all health insurance companies involved. When adjusting for the sex and diagnosis proportions of each year, it was shown that diagnosis strongly influenced the average length of stay in both settings, whereas sex only slightly influenced the duration of stay in the inpatient setting. Patients obviously benefit from integrated and individualised treatment and flexible provision of various treatment offers, such as improved continuity of care over inpatient and outpatient settings, integration of medical care and social services, and home treatment options instead of admission to hospital.

No influence of age could be shown. Psychiatric patients have particular difficulties in navigating through various treatment offers and Social Insurance Codes when receiving continuous treatment.

The average length of stay for all these groups were calculated and compared.

§ 6 KHEntgG – Einzelnorm

Petersen, HP and Hejnal, T. Such difficulties have already been described in the implementation process of new models of care Psychiatr Prax 40 Such a change is often seen by staff members as a challenge to their ability to take care of acutely ill patients and to offer them comprehensive treatment. Indicators were eligible, if they were documented in both study periods before and after implementation of RPB and in addition were most robust against fluctuations of documentation quality and fluctuations of bbundespflegesatzverordnung over the long observation period.


First line bundespflegesatzvfrordnung diagnoses according to ICD 10 were organic, including symptomatic, mental disorders F00—F09, 9. Strengths of the Study Methods First, the integrated treatment model was applied to all patients seeking inpatient treatment in the district.

A potential problem of the integrated care model is that patients must actively subscribe to it, with the risk that many severely ill patients, who should primarily benefit from such a program, do not get to subscribe to it. All documented cases who received psychiatric care at the regional hospital during the years — before implementation of the RPB were compared to all documented cases who received psychiatric care at the regional hospital during the years — under capitation principle conditions within the Regional Psychiatry Budget RPB in the administrative district of Dithmarschen Figure 1.

This means that you will not need to remember your user name and password in the future and you will be able to login with the account you choose to sync, with the click of a button. Patients admitted to the hospital over the course of and were divided in three groups: The district of Dithmarschen began using the capitation principle only in This is explained by the higher rate of substance abuse disorders among male patients Weinmann, S and Gaebel, W Rates and correlates of employment in people with schizophrenia in the UK, France and Germany.

Table 2 Sociodemographic and clinical indicators of quality of psychiatric care of bundespflegesatzveerordnung at discharge from hospital or day care before and after implementation of the Regional Psychiatry Bundespfleesatzverordnung RPB in the administrative District of Dithmarschen.

The average lengths of stay in each diagnostic group after ICD in both inpatient and day care setting are summarized in Tables 2 and 3. J Clin Psychiatry 73 3: However, their ability to efficiently reduce the average length of stay and hence to strengthen and develop outpatient care still needs to be proven. Patient counts by sex and age group.

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