title: [The outpatient provision of care for mental disorders in a rural area. An analysis of reimbursement claims in Mecklenburg-West Pomerania].
abstract: Mental disorders cause a substantial amount of the burden of disease. Although they are less frequent in rural areas, their provision of care is disproportionately lower. Reimbursement claims in the federal state of Mecklenburg-West Pomerania of the years 2006/2007 serve as the basis for the descriptive distribution of subgroups on the total number of mental disorders and their outpatient care. Of all claims, 35,3% were allotted to neurotic, stress-related and somatoform disorders, 24,2% to affective disorders and 12,5% to substance use disorders. Claims for reimbursement were made for 44,7% by general practitioners, 15,1% by neurologists and psychiatrists, 12,6% by gynaecologists, and 8,1% by internists. Psychotherapists claimed 3,1%. These results cause considerations regarding the establishment of psychotherapeutic and neurological/psychiatric practices as well as the significance of mental disorders in the training of general practitioners.
authors.affiliation: Institut für Medizinische Psychologie. wolfgang.hannoever@uni-greifswald.de
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hannöver
authors.forename: Nora
authors.initials: N
authors.lastname: Späte
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Hannich
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D017281:Cost of Illness; D005858:Germany; D006801:Humans; D007345:Insurance Claim Review; D007349:Insurance, Health, Reimbursement; D001523:Mental Disorders / Q000628:therapy*; D010045:Outpatients; D011613:Psychotherapy; D012424:Rural Population / Q000706:statistics & numerical data*