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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The use of in- and outpatient resources is financed by this budget under the sole responsibility of the care providers, who make all decisions regarding their allocation.

Moreover, they do not allow for general conclusions to be made about their efficacy in reducing the gap between the in- and outpatient sectors, since the available data are based solely on observational studies of very heterogeneous projects and models 4. Bundespflegesatzverordnungg is based on a close cooperation with psychiatrists in private practices and has led to a significant reduction of inpatient length of stay, as an bundespflehesatzverordnung evaluation study showed 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.

One pioneer region has been scientifically studied [ 891011 ] and has shown long-lasting improvement in the health status of the psychiatric patients in its catchment area and a significant reduction in inpatient days. Spektrum der Psychiatrie und Nervenheilkunde We especially thank Mrs. The study used a pre-post comparison design. The rates of day- and outpatient care were concomitantly increased 5 — 8. This is the factor of main interest, while the other factors serve for adjustment to changes in the composition of the patient groups over years.


The day care department is located in the same buildings as the outpatient department, and both are located outside of the main hospital building where the inpatient sector is located.

Berghoefer has done research in long-term evaluation and prophylaxis of affective disorders, treatment algorithms in therapy-resistant affective disorders, and long-term lithium therapy.

Conclusion Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need of inpatient treatment than was possible under the standard reimbursement model, based on single inpatient cases.

Patients admitted to the hospital over the course of and were divided in three groups: Mean length of stay of inpatients by diagnosis group and sex.

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed bundsspflegesatzverordnung a potential conflict of interest.

Finally, the integrated care project of the public insurance provider DAK-Krankenkasse has been implemented in four regions in Germany. Publications Office of the European Union, p.

Health systems in transition nundespflegesatzverordnung 2: Mean length of stay of day care patients by diagnosis group. The hypothesis was that this switch would correct the observed shift in the distribution of diagnostic groups in the integrated care program and thus lead to a shortening of the average length of stay when compared to the integrated care program.

This is either because most of them need time to engage in a stable outpatient therapeutic relationship or because they are not actively given the opportunity to subscribe in the acute inpatient setting.


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The study question was set up only during a secondary data analysis. Surprisingly, however, sex was shown to influence the average length of stay, with male patients having a slightly shorter stay in the hospital than women. Inthe average length of stay of patients in inpatient setting who subscribed to the integrated care model was 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.

The RPB provides incentives to deliver equal or higher quality of care with stable cost and to reduce inpatient treatment time. A total of 19, cases could be included in the analysis. You can login by using one of your existing accounts. The model has been described in detail elsewhere [ 791012 ].

Personenzentrierte Krankenhausbehandlung Im Gemeindepsychiatrischen Verbund.

§ 6 KHEntgG – Einzelnorm

Male patients stayed on average 2. Only the most robust parameters were analysed in this study. No use, distribution or reproduction is permitted which does not comply with these terms.

Health economics 14 Suppl 1: Their calculated length of stay has been taken into account for Rates and correlates of employment in people with schizophrenia in the UK, France and Germany.

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