[Are bonus systems applicable to guideline-oriented depression treatment provided by general practitioners and neurologists?].
In the outpatient treatment of depression, the potential of diagnostic and therapeutic methods is seldom exhausted resulting in variable quality of treatment and partly insufficient cost effectiveness. Implementation of a guideline-oriented reimbursement system seems to be an option to improve quality of treatment. Corresponding incentive systems have been outlined and evaluated for the health care of somatic diseases such as diabetes. Acting on these experiences, an attempt was made to utilize them for the area of psychiatric disorders. Taking depression as an example, a model for a quality-oriented, guideline-based reimbursement system for general and specialist practice is presented.
Schneider
F
F
Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum der RWTH Aachen, Aachen, Deutschland. fschneider@ukaachen.de
Menke
R
R
Härter
M
M
Salize
H J
HJ
Janssen
B
B
Bergmann
F
F
Berger
M
M
Gaebel
W
W
D000553:Ambulatory Care / Q000191:economics* / Q000379:methods*; D003863:Depression / Q000175:diagnosis / Q000191:economics* / Q000628:therapy*; D005858:Germany; D006284:Health Plan Implementation; D006801:Humans; D018803:Models, Economic; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000191:economics; D012052:Reimbursement, Incentive