Wolff-Menzler C, Maier B, Junne F, Löhr M, Große C, Falkai P, Pollmächer T, Salize H-J, Nitschke R, Hauth I, Deister A, Godemann F
Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen.
BWL-Gesundheitsmanagement, Duale Hochschule Baden-Württemberg, Mannheim.
Fortschr Neurol Psychiatr. 2014 Jul;82(7):394-400. doi: 10.1055/s-0034-1366577. Epub 2014 Jul 11.
In Germany a new and unique remuneration system for psychiatric and psychosomatic stationary treatments (PEPP system) was introduced in 2013 on an optional basis. From 2015 it will be mandatory for psychiatric and psychosomatic facilities. The introduction of the PEPP system brings up different questions regarding the possible incentives of the new remuneration system and its effects on the supply of psychiatric and psychosomatic treatments. To conduct these necessary analyses a reliable database is needed.
The goal of the project "Indicators of patient care in Psychiatric and Psychosomatic Facilities" (VIPP project) is to gather a representative database which reflects the situation of day-to-day patient care performed by German psychiatric and psychosomatic facilities. The § 21 data set represents the basis of this database which will be complemented by other data sources (i. e., financial statements and other economic data). A number of more than 100 ,000 cases per year has already been exceeded. These case data were provided by a wide range of psychiatric hospitals, departments and universities that participate in this project. The dataset is anonymised and by pooling the data it is not possible to identify the cases of a specific clinic. Participants receive a web-based access and have the possibility to analyse the data independently.
Using the examples of coding accuracy and rehospitalisation rates the variety as well as the enormous potential of this database can be demonstrated.
On the base of the VIPP database valid patient care indicators can be identified and cross-sectional analyses can be conducted. From such results key data on health economic strategies can be derived and the incentives, strengths and limitations of this constantly changing system can be identified.
2013年，德国以可选择的方式引入了一种全新且独特的精神科和身心疾病住院治疗薪酬体系（PEPP体系）。从2015年起，该体系将成为精神科和身心疾病治疗机构的强制要求。PEPP体系的引入引发了一系列不同的问题，涉及新薪酬体系可能产生的激励措施及其对精神科和身心疾病治疗服务供给的影响。为进行这些必要的分析，需要一个可靠的数据库。
“精神科和身心疾病治疗机构患者护理指标”项目（VIPP项目）的目标是收集一个具有代表性的数据库，以反映德国精神科和身心疾病治疗机构日常患者护理的情况。§ 21数据集是该数据库的基础，其他数据源（如财务报表和其他经济数据）将对其进行补充。每年的病例数已超过10万例。这些病例数据由广泛参与该项目的精神科医院、科室和大学提供。数据集经过匿名处理，通过汇总数据无法识别特定诊所的病例。参与者可通过网络访问该数据库，并能够独立分析数据。
通过编码准确性和再住院率的示例，可以证明该数据库的多样性及其巨大潜力。
基于VIPP数据库，可以确定有效的患者护理指标并进行横断面分析。从这些结果中，可以得出有关卫生经济策略的关键数据，并确定这个不断变化的体系的激励措施、优势和局限性。
