Budnick Andrea, Kuhnert Ronny, Schmidt Helen, Wienprecht Lars, Kuhlmey Adelheid, Blüher Stefan
Institut für Medizinische Soziologie und Rehabilitationswissenschaft,Charité Universitätsmedizin Berlin, Berlin, Deutschland.
Translational Neuromodeling Unit, Institut für Biomedizinische Technik, Universität und ETH Zürich, Zürich, Schweiz.
Gesundheitswesen. 2021 Nov;83(11):936-945. doi: 10.1055/a-1305-9991. Epub 2021 Jan 18.
Schizophrenia is one of the most severe psychiatric diseases. The German health care system still shows gaps in services for chronic psychiatric patients with intense need of treatment. The present article focused on changes in provision of health services for initially treated in-patients with schizophrenia in St. Hedwig hospitals in Berlin according to § 64b SGB V compared to patients receiving regular in-patient treatment.
By using statutory data, we analyzed target figures. We analyzed patients of 3 cohorts. Propensity Score Matching generated a control group in each cohort.
The final analysis showed for schizophrenia patients treated in the model project that the number of hospital stays and overall length of stay decreased, but overall costs decreased only partially. Moreover, the period (in days) until next re-hospitalization was longer, while the sum of contacts to the outpatient sector increased. Conclusions The presented model project achieved the aimed shift of psychiatric health service into the outpatient sector for schizophrenia patients.
精神分裂症是最严重的精神疾病之一。德国医疗保健系统在为有强烈治疗需求的慢性精神病患者提供服务方面仍存在差距。本文重点关注与接受常规住院治疗的患者相比，柏林圣海德维希医院中根据《社会法典》第五编第64b条首次接受治疗的精神分裂症住院患者的医疗服务提供情况的变化。
通过使用法定数据，我们分析了目标数据。我们分析了3个队列的患者。倾向得分匹配在每个队列中生成了一个对照组。
最终分析表明，对于在示范项目中接受治疗的精神分裂症患者，住院次数和总住院时长减少了，但总体成本仅部分降低。此外，下次再次住院前的时间（天数）更长，而门诊部门的接触次数总和增加了。结论 所展示的示范项目实现了精神卫生服务向精神分裂症患者门诊部门的目标转移。
