OBJECTIVE: Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present paper describes first experiences with the new resource allocation model. BASIC CONDITIONS: An annual budget, provided for the treatment of a fixed number of patients, makes it possible to reduce inpatient capacity in favour of improved community-integrated approaches for the treatment of acute psychiatric illness. RESULTS: In a first step inpatient capacity will be reduced by 8 percent. By the end of 2007 capacity for hospital day care shall be increased by 87 percent and a home treatment will be implemented. The previous working method, orientated to treatment setting, will be replaced by an approach specialized in diagnostic groups. CONCLUSIONS: The Regional Budget could improve the continuity and flexibility of patient care. Service providers become motivated to treat in a way, which with little resource consumption achieves a long lasting health status improvement. For health insurances the Regional Budget is an opportunity to limit cost increases.
OBJECTIVE: Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present paper describes first experiences with the new resource allocation model. BASIC CONDITIONS: An annual budget, provided for the treatment of a fixed number of patients, makes it possible to reduce inpatient capacity in favour of improved community-integrated approaches for the treatment of acute psychiatric illness. RESULTS: In a first step inpatient capacity will be reduced by 8 percent. By the end of 2007 capacity for hospital day care shall be increased by 87 percent and a home treatment will be implemented. The previous working method, orientated to treatment setting, will be replaced by an approach specialized in diagnostic groups. CONCLUSIONS: The Regional Budget could improve the continuity and flexibility of patient care. Service providers become motivated to treat in a way, which with little resource consumption achieves a long lasting health status improvement. For health insurances the Regional Budget is an opportunity to limit cost increases.
Authors: Sonja Indefrey; Bernard Braun; Sebastian von Peter; Andreas Bechdolf; Thomas Birker; Annette Duve; Olaf Hardt; Philip Heiser; Kerit Hojes; Burkhard Rehr; Harald Scherk; Anna Christina Schulz-Du Bois; Bettina Wilms; Martin Heinze Journal: Front Psychiatry Date: 2020-07-31 Impact factor: 4.157
Authors: Sebastian von Peter; Yuriy Ignatyev; Jakob Johne; Sonja Indefrey; Onur Alp Kankaya; Burkhard Rehr; Manfred Zeipert; Andreas Bechdolf; Thomas Birkner; Arno Deister; Annette Duve; Sandeep Rout; Harald Scherk; Anna Schulz-Dubois; Bettina Wilms; Dyrk Zedlick; Peter Grollich; Bernard Braun; Jürgen Timm; Martin Heinze Journal: Front Psychiatry Date: 2019-01-22 Impact factor: 4.157
Authors: Fabian Baum; Olaf Schoffer; Anne Neumann; Martin Seifert; Roman Kliemt; Stefanie March; Enno Swart; Dennis Häckl; Andrea Pfennig; Jochen Schmitt Journal: Front Psychiatry Date: 2020-03-24 Impact factor: 4.157