title: [The regional psychiatry budget (RPB): a model for a new payment system of hospital based mental health care services].
abstract: OBJECTIVE
  To analyze the impact of a capitated multi-sector-financing model for psychiatric care (RPB) on costs and effectiveness of care.
  
  
  METHODS
  Patients with a diagnosis according to ICD-10 F10, F2 or 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. At baseline, 1.5 years and 3.5 years follow-up patients were interviewed using measures of psychopathology (CGI-S, HoNOS, SCL-90R, PANSS, BRMAS / BRMES), functioning (GAF, SOFAS) and quality of life (WHOQOL-BREF, EQ-5D). Use of care was determined semi-annually.
  
  
  RESULTS
  There were no significant differences in the development of psychopathology and quality of life between MR and CR. In the MR, functioning of patients with schizophrenia and affective disorders improved significantly more strongly. The development of total mental health care costs was not different between MR and CR. However, the costs of office based mental health care increased slightly more strongly in the MR, indicating a small cost-shift from the RPB to extrabudgetary financed services.
  
  
  CONCLUSIONS
  The RPB showed slight advantages regarding the effectiveness of care and did not significantly change the total mental health care costs.
authors.affiliation: Universität Leipzig, Professur für Gesundheitsökonomie, Klinik und Poliklinik für Psychiatrie.
authors.forename: Hans-Helmut
authors.initials: HH
authors.lastname: König
authors.forename: Sven
authors.initials: S
authors.lastname: Heinrich
authors.forename: Dirk
authors.initials: D
authors.lastname: Heider
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: Cornelia
authors.initials: C
authors.lastname: Hierholzer
authors.forename: Matthias C
authors.initials: MC
authors.lastname: Angermeyer
authors.forename: Christiane
authors.initials: C
authors.lastname: Roick
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000191:economics; D002017:Budgets; D002204:Capitation Fee; D015331:Cohort Studies; D003361:Cost Allocation; D003362:Cost-Benefit Analysis; D018588:Fee-for-Service Plans / Q000191:economics*; D005260:Female; D005858:Germany; D017048:Health Care Costs; D006778:Hospitals, Psychiatric / Q000191:economics*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000191:economics* / Q000534:rehabilitation; D008875:Middle Aged; D018803:Models, Economic; D019964:Mood Disorders / Q000191:economics / Q000523:psychology / Q000534:rehabilitation; D009313:National Health Programs / Q000191:economics*; D010343:Patient Admission / Q000191:economics*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011599:Psychopathology; D011788:Quality of Life; D012559:Schizophrenia / Q000191:economics / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D016896:Treatment Outcome