title: [Differential Provision of Care for Patients with Mental Disorders by Different Care Providers. An Analysis of Reimbursement Claims in Mecklenburg-West Pomerania in 2010].
abstract: Aim of this study was to use reimbursement claims to analyse in how far the heterogeneous spectrum of mental disorders is reflected by the provision of care by different providers. Of the 728 542 reimbursement claims from the last quarter in 2010, most claims were billed for depressive (22.0%), somatoform (16.8%) and anxiety disorders (7.6%). Most claims were billed by general (50.7%), neurological/psychiatric (16.0%) or practices for internal medicine (10.6%). Claims from most providers reflected the expected spectrum of disorders per specialisation. General practices covered nearly the whole spectrum of disorders. Neurological/psychiatric practices billed more claims for depressive (26.6%) and, anxiety disorders (10.0%) or dementia (4.9%), practices for internal medicine billed more claims for somatoform (18.6%) or tobacco related disorders (13.5%). In the outpatient provision of care, a broad spectrum of disorders is cared for by a broad spectrum of providers. Outpatient practices, independently from their specialisation provide care for all kinds of disorders. At the same time, a focus of disorders along the spectrum of specialisation is observable.
authors.affiliation: Institut für Medizinische Psychologie, Universitätsmedizin Greifswald.
authors.forename: W
authors.initials: W
authors.lastname: Hannöver
authors.affiliation: Institut für Medizinische Psychologie, Universitätsmedizin Greifswald.
authors.forename: H-J
authors.initials: HJ
authors.lastname: Hannich
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D058006:General Practice / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D015276:Health Care Rationing / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007345:Insurance Claim Review / Q000706:statistics & numerical data; D007349:Insurance, Health, Reimbursement / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D009462:Neurology / Q000706:statistics & numerical data; D011570:Psychiatry / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D014600:Utilization Review; D055815:Young Adult