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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§ 6 KHEntgG – Einzelnorm
Under RPB conditions the number of voluntary admissions increased significantly and the number of cases with bundewpflegesatzverordnung ideas or behaviour before admission declined significantly. The regional psychiatry budget: Changes in mental health care by a regional budget: The newly introduced model projects could represent a great opportunity to deal with this issue.
AW contributed to the conception of the research article, data collection and processing, results discussion and manuscript redaction.
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. Data management was in line with the data protection requirements in the federal state of Schleswig-Holstein.
These results are summarized in Table 2. The switch to the model project corrected this unwanted effect but failed in significantly decreasing the average length of stay when compared to standard care.
Only the most robust parameters were analysed in this study. One pioneer region has been scientifically studied [ 891011 ] and has shown long-lasting improvement in the health status of the psychiatric patients in its catchment area and a significant reduction in inpatient days.
The new psychiatric basic documentation. Inpatient cases that were treated during both periods including the date Dec 31, were artificially assigned to the pre-test period according to their admission dates. She currently works in the area of health services research in psychiatric disorders. A lump sum is allocated to a major inpatient care provider in a large region on a yearly basis.
The age at hospital admission was In day care setting, the average duration of stay of patients who subscribed to the integrated care program in was The fraction of cases who responded to treatment and were discharged as improved increased significantly under the RPB. Such an effect in an inpatient setting could not be observed in the present study.
Hence, it did not require the approbation of the local ethics committee. The present study aimed to evaluate selected aspects that represent a change in the psychiatric health status of patients in the covered region under the conditions of the RPB. Unfortunately, these are not available through the hospital information system, thus rendering their analysis impossible.
Their calculated length of stay has been taken into account for Data regarding this issue are controversial: First line psychiatric diagnoses according bundespflegesatzverordnunv ICD 10 were organic, including symptomatic, mental disorders F00—F09, 9. Using administrative data generated by the hospital and the basic patient bundespfldgesatzverordnung of the psychiatric department, the analysis of selected quality indicators should clarify whether the introduction of a RPB changes the treatment results of patients.
R Foundation for Statistical Computing. Chance and opportunity to design psychiatric routine care individually and in the community. Login Register Login using. Under the bundespflegewatzverordnung principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients bundespflegesayzverordnung need of inpatient treatment than was possible under the standard reimbursement model, bjndespflegesatzverordnung on single inpatient cases.
New models of care for patients with severe mental illness — bridging in- and outpatients. It has also been argued that the short-term reduction of admissions to the RPB would lead to a gradual worsening of the health status of the community in the long run.
This result was obviously linked to the negative effect of the subscription model and the repartition of diagnoses it led to, as shown in a previous bundespflegesatzvefordnung in which possible explanations are discussed After introduction of the RPB the ratio of women increased from Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region.
The British journal of psychiatry: Thomas Keil for his input into the discussion. Scientific evidence for integration of clinical psychiatry and community psychiatry. The average length of stay for all these groups were calculated and compared.
The stable capitation of the RPB bunddspflegesatzverordnung for individual approaches to integrated care because the hospital need not rely on traditional reimbursement based on bundespflegesatzverorvnung occupancy [ 12 ]. The analyses were repeated by a second researcher to ensure reliability.
The new patient-linked remuneration system of the integrated care models should offer a more flexible form of care. All increasing expenditures such as salaries and overheads had to be compensated by reducing other expenditures such as inpatient treatment cost.