BUNDESPFLEGESATZVERORDNUNG 2011 PDF

All data management procedures were done automatically and documented in an operation compendium. Open in a separate window. Data management was in line with the data protection requirements in the federal state of Schleswig-Holstein. For example, the employment situation in Germany has generally improved during the last decade [ 19 ].

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All data management procedures were done automatically and documented in an operation compendium. Open in a separate window. Data management was in line with the data protection requirements in the federal state of Schleswig-Holstein.

For example, the employment situation in Germany has generally improved during the last decade [ 19 ]. Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany Gesundheitswesen. After introduction of the RPB the ratio of women increased from We performed a secondary data analysis of administrative data of 19, cases generated by the hospital in a pre-post comparison of the periods before and under RPB conditions.

A language and environment for statistical computing. The fraction of cases who responded to treatment and were bundesppflegesatzverordnung as improved increased significantly under the RPB. Total costs of treatment were kept stable during the RPB because reimbursement of the care provider was capitalised based on the caseload and reimbursement before implementation of the RPB.

GPS—good practice secondary data analysis. Bundespfoegesatzverordnung and correlates of employment in people with schizophrenia in the UK, France and Germany. Gene Ontology GO Terms. However, this major change in the provision of care in the region became effective only during the last two years of the second study period. First, it cannot be estimated whether there are any events or long-term influences that affected the psychiatric population of the district to different extents during the periods before and after the bundespflegesatzverorxnung of the RPB.

Health systems in transition. Patients obviously benefit from integrated and individualised treatment and flexible provision of various treatment offers, such as improved continuity of care over inpatient and outpatient settings, integration of medical care and social services, and home treatment options instead of admission to hospital. Thomas Keil for his input into the discussion. German Federal Employment Agency; The significance level for all analyses was set to 0. This may be because the snippet appears in a bundespflegessatzverordnung legend, contains special characters or spans different sections of the article.

Bjndespflegesatzverordnung indicators suggest equal or higher quality of care with stable cost in the population in need of psychiatric care in the district.

Indicators were — Legal form of admission to hospital as indicator of severity of illness. This might partly explain the increasing number of documented cases in full time jobs during the second period. Published online 31 December Improved documentation of therapeutic process using a modified psychiatric basis documentation.

Europe PMC requires Javascript to function effectively. The stable capitation of the RPB allows for individual approaches to integrated care because the hospital need not rely on traditional reimbursement based on bed occupancy [ 12 ]. The mean number of cases per year remained approximately stable, with an average number of 1, range: Selection of Indicators We selected indicators of health status and social situations of the patients in the district as well as quality indicators of psychiatric care provided during hospital or day care stays.

Table 2 Sociodemographic and clinical indicators of quality of psychiatric care of cases at discharge from hospital or day care before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen. 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.

According to this principle, a lump sum bundespflegesatzverorenung allocated to a major inpatient bundespflegezatzverordnung provider in a large region on a yearly basis.

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Dijin The hospital is committed to a social psychiatric treatment concept and provides psychiatric care by avoiding inpatient stays and offering treatment in day care facilities and walk-in clinics; this is combined with home treatment if necessary as well as long-term social support services and continuous therapeutic relationships. However, this major change in the provision of care in the region became effective only during the last two years of the second study period. Detailed psychopathological documentation from the psychiatric department was not used for analysis, as parameters and their categories changed over time, as did the validity of documentation. How does Europe PMC derive its citations network? Supplementary to this after one year there was carried out an additional coding of the letters by the documentation doctor. 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 age at hospital admission was The distribution of first line diagnoses among these main categories remained stable between and Pre-post comparison study design for evaluation of selected indicators of health status and quality bundespflegesatzverordnunb psychiatric care.

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BUNDESPFLEGESATZVERORDNUNG 2011 PDF

This might partly explain the increasing number of documented cases in full time jobs during the second period. A total of 19, cases could be included in the analysis. GPS—good practice secondary data analysis. Despite forced savings due to the capitation fee several indicators hint at an improvement of health status and response to treatment under the RPB conditions. Living in own home.

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