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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Mean length of stay of bundespflegesatzverordnungg by diagnosis group and sex. All patients insured by the contracting insurance company benefit from the program without active subscription, thus allowing the most severely ill patients to be part of such a program. Patients of the F2 and F3 groups showed significantly longer lengths of stay compared with the other diagnosis groups. This should help to reduce the duration of their hospital stays and to transfer them effectively in the outpatient care.

R Development Core Team In this model, the service providers carry the responsibility for the allocation of resources and hence bear all the financial risks.

Sander K, Albus M. The study used a pre-post comparison design. Spektrum der Psychiatrie und Nervenheilkunde This proximity surely reinforces the cooperation and synergies between day care and outpatient sectors and thus promotes a faster transition in the outpatient care.

Surprisingly, however, sex was shown to influence the average length of stay, with male patients having a slightly shorter stay in the hospital than women. The results are in line with data from the RPB in the adjacent district [ 911 ], where bundespflegeastzverordnung for inpatient treatment were lowered and functioning of patients with schizophrenia and affective disorders improved significantly under the capitation principle.

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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. However, in our analysis we did not use continuous variables or psychopathological parameters, both of which are sensitive to any methodological variations.


International Journal of Integrated Care16 4 The new psychiatric basic documentation. Model projects require the full commitment of all staff members in managing the limited financial resources allowed by the insurance company and allocating them preferentially to the outpatient sector. Einschreibeverhalten von pychisch Kranken in die integrierte Versorgung einer psychiatrischen Klinik.

Case management is not routinely provided in the German health care system [ 34 ]. Berghoefer has done research in long-term evaluation and prophylaxis of affective disorders, treatment algorithms in therapy-resistant affective disorders, and long-term lithium therapy. Only then can reluctance and long-established routines be overcome. Inthe average length of stay of patients in the model project was The number of cases needing any restraining procedures during their inpatient stays decreased significantly.

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. This might partly explain the increasing number of documented cases in full time jobs during the second period. The district of Dithmarschen began using the capitation principle only in Final results of backward analysis of variance for day care patients.

In Krefeld, a new home treatment-based implemented model proved to be effective in increasing the satisfaction of patients and their next of kin, while preserving a constant quality of care when compared to standard inpatient care 13 It is based on a close cooperation with psychiatrists in private practices and has led to a significant reduction of inpatient length of stay, as an observational evaluation study showed Only the most robust parameters were analysed in this study.

Bock T, Lambert M. The shift of psychiatric care resources from the in- to the outpatient sector, and the reduction of average length of stay are crucial and have been addressed in many countries over the last years. Length of stay of patients admitted in the end of and discharged in has been taken into account for We will be provided with an authorization token please note: The use of in- and outpatient resources is financed by this budget under the sole responsibility of the care providers, who make all decisions regarding their allocation.


However, their ability to efficiently reduce the average length of stay and hence to strengthen and develop outpatient care still needs to be proven. Care requirements for severe mental disorders. The mean number of cases per year remained approximately stable, with an average number of 1, range: Mean duration of inpatient stay before and after implementation dashed line of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

§ 6 KHEntgG – Einzelnorm

The longer duration of stay, the traditional greater focus on long-term rehabilitation in a 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.

Inthe average length of stay of patients in inpatient setting who subscribed to the integrated care model was The number of cases living in their own home increased and the number of cases in sheltered housing situations decreased significantly Table 1.

This is the factor of main interest, while bundeepflegesatzverordnung other factors serve for adjustment to changes in the composition of the patient groups over years.