BUNDESPFLEGESATZVERORDNUNG 2011 PDF

Dijin The hospital is committed to a social psychiatric treatment concept and provides psychiatric care by avoiding inpatient stays and offering treatment in day care facilities and walk-in clinics; this is combined with home treatment if necessary as well as long-term social support services and continuous therapeutic relationships. However, this major change in the provision of care in the region became effective only during the last two years of the second study period. Detailed psychopathological documentation from the psychiatric department was not used for analysis, as parameters and their categories changed over time, as did the validity of documentation. How does Europe PMC derive its citations network? Supplementary to this after one year there was carried out an additional coding of the letters by the documentation doctor. The treatment of chronic psychiatric disorders is seriously hampered by the division of the German health care system into the sectors of outpatient and inpatient acute care, rehabilitation and social support care [ 12 ].

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Saupe R, Walle M. The regional budget for mental health care: We performed a secondary data analysis of administrative data of 19, cases generated by the hospital in a pre-post comparison of the periods before bundespglegesatzverordnung under RPB conditions. However, in our analysis we did not use continuous variables or psychopathological parameters, both of which are sensitive to any methodological variations. The RPB enables healthcare providers to limit expenses.

Sociodemographic and treatment-related categorical variables were averaged over the years without and with the RPB; then chi 2 -Tests bundespflegeastzverordnung performed with the null hypothesis that the distribution of the categories of variables was the same in both periods.

Health systems bundespflegesatzvedordnung transition. However, the results need to be replicated in other regions in Germany or in other health systems.

Discussion Under the capitation principle of a Regional Psychiatry Budget, the mean duration of inpatient treatment of psychiatric cases could be significantly reduced and shifted to day care and outpatient settings.

The corresponding errors of the house physicians for three digit numbers maximum were amounting to 8 p. We especially thank Mrs. Socio-demographic and clinical indicators of health status and social adjustment significantly improved.

The snippet could not be located in the article text. Among these are the so called Integrated Care Models and the nationwide disease management programs. R Foundation for Statistical Computing; Additionally, bundespflegedatzverordnung does not explain why other indicators changed between the first and second periods.

During hospital treatment, bundepflegesatzverordnung restraining procedures were necessary and more cases could be regularly discharged, a higher percentage of those were improved compared to regular reimbursement conditions. Total costs of treatment were kept stable during the RPB because reimbursement of the care provider was capitalised based on the caseload and reimbursement before implementation of the RPB.

Employment and Social Developments in Europe ; p. Analysing the impact of health-care system change in the EU member states—Germany. Introduction The treatment of chronic psychiatric disorders is seriously hampered by the division of the German health care system into the sectors of outpatient and inpatient acute care, rehabilitation and social support care [ 12 ].

It has been argued that reimbursement for psychiatric care using the capitation bundespclegesatzverordnung incentivises hospitals to refuse those patients who need highly complex or expensive care [ 10 ] and to save resources by sacrificing the quality of care.

CitePeer Related Articles http: Integrated care in Germany-a stony but bundespflegesatzferordnung road! Therefore, the RPB-model is well-suited to facilitating fundamental structural and procedural changes in psychiatric patient care. In return the provider is free to offer all forms of treatment and to construct individual models of integrated care bundespflegesatzverprdnung the RPB that specifically suit the region and the needs of community members.

The RPB provides incentives to deliver equal or higher quality of care with stable cost and to reduce inpatient treatment time. Selected indicators suggest equal or higher quality of care with stable cost in the population in need of psychiatric care in the district.

We used only categorical variables, which were documented using standard operation procedures by the staff, and which we expect to be more robust against any changes bundespflegesatzvegordnung the data management process. The results are in line with data from the RPB in the adjacent district [ ], where costs for inpatient treatment were lowered and functioning of patients with schizophrenia and affective disorders improved significantly under the capitation principle.

Psychiatric patients have particular difficulties in navigating through various treatment offers and Social Insurance Codes when receiving continuous treatment. The fraction of cases who responded to treatment and were discharged as improved increased bundespflegesatzverrordnung under the RPB.

The ethical committee of the Medical Association of Schleswig-Holstein was informed about bundespflegesatzverordnuhg study. A third form of bundespflegedatzverordnung innovative integrated models is the Regional Psychiatry Budget RPBaccording to paragraph 26 of the former Federal Hospital Refund Regulation Bundespflegesatzverordnungwhich is based on the capitation principle. In the present the diagnosis from letters of discharge of the years and were additionally coded by the documentation doctor of the orthopaedic department and compared with the documentation sheets and the computer lists of the administration.

Additionally, we did not bundespflegesatzverordnng subgroups of various psychiatric diagnoses. Related Posts.

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BUNDESPFLEGESATZVERORDNUNG 2011 PDF

Saupe R, Walle M. The regional budget for mental health care: We performed a secondary data analysis of administrative data of 19, cases generated by the hospital in a pre-post comparison of the periods before bundespglegesatzverordnung under RPB conditions. However, in our analysis we did not use continuous variables or psychopathological parameters, both of which are sensitive to any methodological variations. The RPB enables healthcare providers to limit expenses. Sociodemographic and treatment-related categorical variables were averaged over the years without and with the RPB; then chi 2 -Tests bundespflegeastzverordnung performed with the null hypothesis that the distribution of the categories of variables was the same in both periods. Health systems bundespflegesatzvedordnung transition.

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This might partly explain the increasing number of documented cases in full time jobs during the second period. A total of 19, cases could be included in the analysis. GPS—good practice secondary data analysis. Despite forced savings due to the capitation fee several indicators hint at an improvement of health status and response to treatment under the RPB conditions. Living in own home. The regional psychiatry budget: German Federal Employment Agency.

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Bundespflegesatzverordnung

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