Melchinger H, Rössler W, Machleidt W
Abteilung Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover.
Nervenarzt. 2006 Jan;77(1):73-80. doi: 10.1007/s00115-005-1886-9.
There is no doubt that mental health care should be geared toward evidence, cost-effectiveness, and need. Health care data that allow comparisons of demand and real needs are scarce. This is especially true for outpatient care.
The aim of this study was to assess and analyze data from health insurance plans and social welfare.
The costs of mental health care in Germany amount to 13 mio
The redistribution of expenses from inpatient to outpatient care including integrated health care approaches would result in more cost-effective mental health care.
毫无疑问，精神卫生保健应基于证据、成本效益和需求。能用于比较需求和实际需求的卫生保健数据稀缺。门诊护理尤其如此。
本研究的目的是评估和分析来自健康保险计划和社会福利的数据。
德国每年精神卫生保健费用为每10万人口1300万欧元。健康保险计划占总成本的三分之二，社会福利占三分之一。费用分配似乎并非基于需求分析。尤其是慢性精神病患者处于不利地位。
将费用从住院护理重新分配到门诊护理，包括采用综合卫生保健方法，将带来更具成本效益的精神卫生保健。
