Brieger Peter
Akademisches Lehrkrankenhaus der LMU München, kbo-Isar-Amper-Klinikum gGmbH, Vockestr. 72, 85540, Haar bei München, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Feb;62(2):121-127. doi: 10.1007/s00103-018-2861-5.
The German mental health system has several peculiarities compared to its international counterparts. It shows a surprising amount of heterogeneity, as a variety of payers and care providers interact on the basis of a broad set of legal standards.This narrative review presents the historical background, current organizational aspects, several open questions, and future perspectives. It assumes that there is a need for future care concepts that overcome sector borders, observe the need for coordination and quality indicators, take into account the need for trialogic concepts (users, family, and professionals), reflect on human rights and ethical principles, and consider the need for prevention.
与国际同行相比，德国的心理健康系统有几个特点。它呈现出惊人的异质性，因为各种各样的支付方和护理提供者在一系列广泛的法律标准基础上相互作用。本叙述性综述介绍了历史背景、当前的组织情况、几个悬而未决的问题以及未来展望。它假定未来的护理概念需要跨越部门界限，遵守协调需求和质量指标，考虑三方逻辑概念（使用者、家庭和专业人员）的需求，反思人权和伦理原则，并考虑预防的必要性。
