[Data analysis based on the Classification of Therapeutic Procedures (CTL) of inpatient rehabilitation of depressive disorders].
OBJECTIVE
As an initiative of the German Pension Insurance Association (DRV), evidence-based therapeutic modules (ETM) for the rehabilitation of patients with depression were developed. The objective of the subsequent analysis was to analyse the therapeutic procedures in inpatient rehabilitation on the basis of the ETM to evaluate the principal needs for therapeutic standards.


METHODS
Data based on the German Classification of Therapeutic Procedures (KTL) for 21 529 patients treated in rehabilitation clinics for people with mental illnesses was analysed with respect to differences between diagnostic groups/clinics regarding type, quantity and duration of measures coded.


RESULTS
The mean quantity and duration of the interventions for patients with depressive disorders encoded varied greatly between the ETM. No or only minor differences were found between patients with depression and those with other diagnoses regarding the type, quantity and duration of measures coded. However, there were great variances between clinics.


CONCLUSIONS
Therapeutic standards for rehabilitative practice appear necessary in order to reduce treatment heterogeneity between rehabilitation facilities, which could improve the quality of healthcare.
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
J
J
Dirmaier
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
H
H
Schulz
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
M
M
Steinmann
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
B
B
Watzke
Deutsche Rentenversicherung Bund, Geschäftsbereich Sozialmedizin und Rehabilitation, Bereich Rehabilitationswissenschaften, Berlin.
E
E
Volke
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
U
U
Koch
Schön Klinik Bad Bramstedt.
D
D
Barghaan
D000293:Adolescent; D003866:Depressive Disorder / Q000453:epidemiology / Q000534:rehabilitation*; D019317:Evidence-Based Medicine; D005260:Female; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012046:Rehabilitation / Q000145:classification* / Q000592:standards*; D012047:Rehabilitation Centers / Q000592:standards*; D055815:Young Adult