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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Conclusion Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need bundespflegesatzverordnuny inpatient treatment than was possible under the standard reimbursement model, based on single inpatient cases. Psychiatr Prax 40 Psychiatr Prax 37 1: Erfahrungen mit einem Projekt der integrierten Versorgung in der Psychiatrie.
In this model, the service providers carry the responsibility for the allocation of resources and hence bear all the financial risks. Login Register Login using.
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. No use, distribution or reproduction is permitted which does not comply with these terms. In contrast to this, the results for the day care setting showed no difference in the average lengths of stay between the integrated care program and the model project.
Sociodemographic and treatment-related categorical variables were averaged over the years without and with the RPB; then chi 2 -Tests were performed with the null hypothesis that the distribution of the categories of variables was the same in both periods. Final results of backward analysis of variance for day care patients. Weinmann, S and Gaebel, W Care requirements for severe mental disorders.
The documentation of cases in the hospital controlling department did not change over time. For estimating the model effect on the length of stay while adjusting for effects of sex, age, or diagnosis group, a backward analysis of variance ANOVA was carried out.
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. While during the period before the RPB all cases were treated as inpatients, between and 6, inpatient cases and 1, day care cases were documented. The new psychiatric basic documentation.
The use of in- and outpatient resources is financed by this budget under the sole bundespfleegsatzverordnung of the care providers, who make all decisions regarding their allocation. Bundsepflegesatzverordnung used bundespflegesazverordnung categorical variables, which were documented using standard operation procedures by the staff, and which we expect to be more robust against any changes in the data management process.
Sander K, Albus M. Data management was in line with the data protection requirements in the federal state of Schleswig-Holstein. 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 work in which possible explanations are discussed The regional psychiatry budget RPB: 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 staff over the long observation period.
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.
Namely, it sought to counter the unbalanced allocation of resources, and the lack of interface management between the in- and outpatient sectors.
§ 6 KHEntgG – Einzelnorm
German Federal Employment Agency ANOVA results for the inpatient setting showed age did not affect the average length of stay. The analyses were repeated by a second researcher to ensure reliability. Innovative Projekte im Gefolge der Gesundheitsmodernisierungsgesetze: Male patients stayed on average 2. A total of 19, cases could be included in the analysis.
Fortschr Neurol Psychiatr 79 1: Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region.
Chance and opportunity to design psychiatric routine care individually and in the community. German Federal Employment Agency. 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 ]. 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.
Such difficulties have already been described in the implementation process of new models of care It can be implemented in the bundespflegesatzverordnuhg as well as in hospitals without the participation of all insurance companies, since it is based on cooperation agreements between a care provider and a single insurance company. We especially thank Mrs.