OBJECTIVE: To evaluate a new multi-sector financing model for psychiatric care based on the capitation principle (Regional Psychiatry Budget, RPB). METHODS: Patients with a diagnosis according to ICD-10 F10, F2, and F3 were interviewed in the model region (MR, N=258) and a control region (CR, N=244) financed according to the fee-for-service principle. Effectiveness of care was assessed before RPB-introduction and after 1.5 years. Use of care was determined semi-annually. RESULTS: Costs of inpatient psychiatric treatment decreased more strongly in the MR, while hospital based outpatient care and day clinic treatment were intensified in comparison to the CR. Quality of life, severity of illness and illness-specific symptoms in patients improved similarly in MR and CR. The functional level improved more in the MR than in the CR, which was especially evident in schizophrenia patients. CONCLUSIONS: Inpatient psychiatric care costs can be reduced with the RPB without compromising the quality of care.
OBJECTIVE: To evaluate a new multi-sector financing model for psychiatric care based on the capitation principle (Regional Psychiatry Budget, RPB). METHODS:Patients with a diagnosis according to ICD-10 F10, F2, and F3 were interviewed in the model region (MR, N=258) and a control region (CR, N=244) financed according to the fee-for-service principle. Effectiveness of care was assessed before RPB-introduction and after 1.5 years. Use of care was determined semi-annually. RESULTS: Costs of inpatient psychiatric treatment decreased more strongly in the MR, while hospital based outpatient care and day clinic treatment were intensified in comparison to the CR. Quality of life, severity of illness and illness-specific symptoms in patients improved similarly in MR and CR. The functional level improved more in the MR than in the CR, which was especially evident in schizophreniapatients. CONCLUSIONS: Inpatient psychiatric care costs can be reduced with the RPB without compromising the quality of care.
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: Bettina Soltmann; Anne Neumann; Stefanie March; Ines Weinhold; Dennis Häckl; Roman Kliemt; Fabian Baum; Marcel Romanos; Julian Schwarz; Sebastian von Peter; Yuriy Ignatyev; Katrin Arnold; Enno Swart; Martin Heinze; Jochen Schmitt; Andrea Pfennig Journal: Front Psychiatry Date: 2021-06-01 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
Authors: Julian Schwarz; Andrzej Cechnicki; Jan Godyń; Laura Galbusera; Daria Biechowska; Beata Galińska-Skok; Izabela Ciunczyk; Yuriy Ignatyev; Felix Muehlensiepen; Bettina Soltmann; Jürgen Timm; Sebastian von Peter; Marek Balicki; Jacek Wciórka; Martin Heinze Journal: Front Psychiatry Date: 2022-01-07 Impact factor: 4.157