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: Institute for Medical Psychology, Ernst-Moritz-Arndt-University of Greifswald, Germany.
authors: Wolfgang
authors: W
authors: Hannöver
authors: Institute for Medical Psychology, Ernst-Moritz-Arndt-University of Greifswald, Germany.
authors: Nora
authors: N
authors: Späte
authors: Institute for Medical Psychology, Ernst-Moritz-Arndt-University of Greifswald, Germany.
authors: Hans-Joachim
authors: HJ
authors: Hannich
keywords: mental disorders; provision; rural areas
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