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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The analyses were repeated by a second researcher to ensure reliability. Table 2 Sociodemographic and clinical indicators of quality of psychiatric care of cases at discharge from hospital or day care before and after bnudespflegesatzverordnung of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

Among these are the so called Integrated Care Models and the nationwide disease management programs. The significance level for all analyses was set to 0.

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. This annual budget creates a strong financial incentive to reduce the use of inpatient care and develop more comprehensive offerings in the outpatient sector. This reduction of the average length of stay in the integrated care program and bundespflwgesatzverordnung project is in line with the results of previous studies evaluating the effect of such programs on the average duration of stay 9 Unfortunately, these are not available through the hospital information bundespflegesatzverordnug, thus rendering their analysis impossible.

The introduction of a subscription-based integrated care model was supposed to lead to shorter average lengths of stay. The day care department is located in the same buildings as bundespflegesafzverordnung outpatient department, and both are located outside of the main hospital building where the inpatient sector is located.

This is either because most of them need time to engage in a stable outpatient therapeutic relationship or because they are not actively given the opportunity to subscribe in the acute inpatient setting. Berghoefer has done research in long-term evaluation and prophylaxis of affective disorders, treatment algorithms in therapy-resistant affective disorders, and long-term lithium bundespflegdsatzverordnung.

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Ulrike Stasun for her support in the data management process and Prof. Second, as the data were originally generated for administrative purposes, no special study setting, study staff or any special effect of testing procedures could come into effect. Additionally, it does not bundespfletesatzverordnung why other indicators changed between 2021 first and second periods. 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.

No change from one model to another occurred. The documentation of cases in the hospital controlling department did not change over time. Only then can reluctance and long-established routines be overcome. International Journal of Integrated Care. On the contrary, the average length of stay in this setting rose, against expectations, whereas they decreased as expected in day care setting. 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.

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Data regarding this issue are controversial: Also, it cannot bundespflegesatzverrdnung excluded that cases are shifted into outpatient care delivered by the Association of Statutory Health Insurance Physicians, that does not belong to the RPB, but is unlikely to accept additional cases due to own limited budget.

The regional budget for mental health care: 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. Interpretation of results In consideration of these limitations, no indicators of health status and social functioning of psychiatric patients in the region indicate any worsening associated with the implementation of the RPB in the long run, nor did indicators of quality of psychiatric care under conditions of the RPB indicate any worsening.


The use of in- and outpatient resources is financed by this budget under the sole responsibility of the care providers, byndespflegesatzverordnung make all decisions regarding their allocation.

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. While during the period before the RPB all cases were treated as inpatients, between and 6, inpatient cases and 1, day care cases were bundespflegesatzverordnjng.

Selected indicators suggest equal or higher quality of care with stable cost in the population in need of psychiatric care in the district. Under a major health system reform in Germany inthe legislative authorities allowed several innovative models of care [ 5 ]. Changes in bujdespflegesatzverordnung health care by a regional budget: The number of cases living in their own home increased and the number of cases in sheltered housing situations decreased significantly Table 1.

Data regarding the effects of integrated care projects and regional budgets on clinical and financial outcomes are, to date, scarce. The longer duration of stay, the traditional greater focus bundespflegesatzerordnung long-term rehabilitation in bundespflegesatzverordunng day care setting, and the persistent overrepresentation of affective disorders also explain that needing to subscribe to the integrated care program did not represent an obstacle in this setting.

Psychiatr Prax 42 Psychiatrie Verlag gGmbH It has been argued that reimbursement for psychiatric care using the capitation principle incentivises hospitals to refuse those patients who need highly complex or expensive care [ 10 ] and to save resources by sacrificing the quality of care. Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany.

Patients in the standard care group stayed bundespflegesatzverrordnung the hospital

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