title: [The regional psychiatry budget: costs and effects of a new multisector financing model for psychiatric care].
abstract: OBJECTIVE
  To evaluate a new multi-sector financing model for psychiatric care based on the capitation principle (Regional Psychiatry Budget, RPB).
  
  
  METHODS
  Patients with a diagnosis according to ICD-10 F10, F2, and F3 were interviewed in the model region (MR, N=258) and a control region (CR, N=244) financed according to the fee-for-service principle. Effectiveness of care was assessed before RPB-introduction and after 1.5 years. Use of care was determined semi-annually.
  
  
  RESULTS
  Costs of inpatient psychiatric treatment decreased more strongly in the MR, while hospital based outpatient care and day clinic treatment were intensified in comparison to the CR. Quality of life, severity of illness and illness-specific symptoms in patients improved similarly in MR and CR. The functional level improved more in the MR than in the CR, which was especially evident in schizophrenia patients.
  
  
  CONCLUSIONS
  Inpatient psychiatric care costs can be reduced with the RPB without compromising the quality of care.
authors.affiliation: Universität Leipzig, Professur für Gesundheitsökonomie, Klinik für Psychiatrie, Berlin. christiane.roick@bv-aok.de
authors.forename: Christiane
authors.initials: C
authors.lastname: Roick
authors.forename: Sven
authors.initials: S
authors.lastname: Heinrich
authors.forename: Arno
authors.initials: A
authors.lastname: Deister
authors.forename: Dirk
authors.initials: D
authors.lastname: Zeichner
authors.forename: Thomas
authors.initials: T
authors.lastname: Birker
authors.forename: Dirk
authors.initials: D
authors.lastname: Heider
authors.forename: Georg
authors.initials: G
authors.lastname: Schomerus
authors.forename: Matthias C
authors.initials: MC
authors.lastname: Angermeyer
authors.forename: Hans-Helmut
authors.initials: HH
authors.lastname: König
mesh_terms: D000328:Adult; D000368:Aged; D002017:Budgets; D002204:Capitation Fee; D003362:Cost-Benefit Analysis / Q000191:economics; D003631:Day Care, Medical / Q000191:economics*; D018588:Fee-for-Service Plans / Q000191:economics; D005260:Female; D005858:Germany; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics*; D011570:Psychiatry / Q000191:economics*; D011785:Quality Assurance, Health Care / Q000191:economics*; D012040:Regional Health Planning / Q000191:economics*