Johannes Kruse1, Astrid Larisch, Mareike Hofmann, Wolfgang Herzog. 1. Prof. Dr. med. Johannes Kruse, Klinik für Psychosomatik und Psychotherapie, Justus-Liebig-Universität Gießen, Friedrichstraße 33, 35392 Gießen, E-Mail: Johannes.Kruse@psycho.med.uni-giessen.de.
Abstract
OBJECTIVES: At the centre of the study lay a representation of outpatient psychosomatic and psychotherapeutic care with a focus on different groups of medical and psychological therapists. METHODS: The routine data of the National Association of Statutory Health Insurance Physicians (KBV) from the year 2008 were analyzed based on a systematic literature review (Medline, ISI, to November 2010). RESULTS: Neurologists and psychiatrists see the most patients (n = 3,172 vs n = 1,347 cases per practice), but they rarely provide services according to the directives for psychotherapy (4,4 %). However, specialists for psychosomatic medicine and psychotherapy (65 %), physicians providing only psychotherapy (66 %) and psychological psychotherapists (73 %) provide care mainly according to the directives for psychotherapy and therefore see fewer patients (170-190 cases per practice).Medical psychotherapists work more often on a psychodynamic basis, while psychological psychotherapists perform more often behavioral therapy. CONCLUSIONS: The treatment of patients with mental and psychosomatic disorders is based on three columns of care, which differ in their supply profile and each make a specific contribution to the treatment.
OBJECTIVES: At the centre of the study lay a representation of outpatient psychosomatic and psychotherapeutic care with a focus on different groups of medical and psychological therapists. METHODS: The routine data of the National Association of Statutory Health Insurance Physicians (KBV) from the year 2008 were analyzed based on a systematic literature review (Medline, ISI, to November 2010). RESULTS: Neurologists and psychiatrists see the most patients (n = 3,172 vs n = 1,347 cases per practice), but they rarely provide services according to the directives for psychotherapy (4,4 %). However, specialists for psychosomatic medicine and psychotherapy (65 %), physicians providing only psychotherapy (66 %) and psychological psychotherapists (73 %) provide care mainly according to the directives for psychotherapy and therefore see fewer patients (170-190 cases per practice).Medical psychotherapists work more often on a psychodynamic basis, while psychological psychotherapists perform more often behavioral therapy. CONCLUSIONS: The treatment of patients with mental and psychosomatic disorders is based on three columns of care, which differ in their supply profile and each make a specific contribution to the treatment.
Authors: Martina Michaelis; Elisabeth Maria Balint; Florian Junne; Stephan Zipfel; Harald Gündel; Rahna Lange; Monika A Rieger; Eva Rothermund Journal: Int J Environ Res Public Health Date: 2019-04-17 Impact factor: 3.390
Authors: Eva Rothermund; Harald Gündel; Edit Rottler; Michael Hölzer; Dorothea Mayer; Monika Rieger; Reinhold Kilian Journal: BMC Public Health Date: 2016-08-26 Impact factor: 3.295
Authors: Eva Rothermund; Martina Michaelis; Marc N Jarczok; Elisabeth M Balint; Rahna Lange; Stephan Zipfel; Harald Gündel; Monika A Rieger; Florian Junne Journal: Int J Environ Res Public Health Date: 2018-02-06 Impact factor: 3.390