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[关于精神疾病患者新型护理形式评估的经验报告:使用健康保险理赔数据的利弊]

[An Experience Report on the Evaluation of New Forms of Care for People with Mental Illness: Pros and Cons of the Use of SHI Claims Data].

作者信息

Neumann Anne, Kliemt Roman, Baum Fabian, Seifert Martin, Kubat Denise, March Stefanie, Weinhold Ines, Swart Enno, Schmitt Jochen

机构信息

Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät und Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden, Dresden, Germany.

WIG2, Wissenschaftliches Institut für Gesundheitsökonomie und Gesundheitssystemforschung, Leipzig, Germany.

出版信息

Gesundheitswesen. 2024 Jul;86(S 03):S212-S223. doi: 10.1055/a-2297-5347. Epub 2024 Apr 2.

DOI:10.1055/a-2297-5347
PMID:38565206
Abstract

The present article describes the special features of an evaluation of research in mental health services in Germany. The experiences of the evaluation of flexible and integrated treatment options with a global treatment budget in psychiatric hospitals based on routine data of more than 70 statutory health insurance (SHI) funds (EVA64 study) are systematically presented. Using the EVA64 study as an example, recommendations for the use of claims data in the field of mental health services research and in general are derived. (1) First, the study and its use of claims data is described and classified. (2) The individual outcomes of the study are presented and evaluated in order to (3) derive criteria, identify strengths and suggest potential uses of claims data. (4) Finally, recommendations for the further development of claims data from SHI funds as a basis for evaluation are described.

摘要

本文介绍了德国心理健康服务研究评估的特点。系统地阐述了基于70多家法定健康保险(SHI)基金的常规数据,对精神病医院采用全球治疗预算的灵活综合治疗方案进行评估的经验(EVA64研究)。以EVA64研究为例,得出了在心理健康服务研究领域及一般情况下使用理赔数据的建议。(1)首先,描述并分类该研究及其对理赔数据的使用。(2)展示并评估该研究的各项结果,以便(3)得出标准、确定优势并提出理赔数据的潜在用途。(4)最后,描述了将SHI基金理赔数据进一步开发作为评估基础的建议。

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