[Regional Budgets in Psychiatry: An Alternative to Hospital per Diem Charges and the New Reimbursement System? - A Case Study from the District of Dithmarschen].
ObjectiveThe study looked at the impact that the switch from a reimbursement system with hospital per diem charges to a regional budget had on treatment.MethodsRoutine data from two clinics over a period of ten years were evaluated.ResultsTreatment took place in day clinics and on an outpatient basis to an increased extent after the change.ConclusionThe change in reimbursement system was the cause of the change in treatment. Since similar effects can also be expected when switching from the new reimbursement system for psychiatry and psychosomatic medicine to a regional budget system, regional budgets are a reasonable alternative.
Malteser Rhein-Ruhr gemeinnützige GmbH.
Bernward
B
Schröder
Lehrstuhl für ABWL und Gesundheitsmanagement, Ernst-Moritz-Arndt-Universität Greifswald.
Steffen
S
Fleßa
D000328:Adult; D000553:Ambulatory Care / Q000191:economics* / Q000639:trends; D002017:Budgets / Q000639:trends*; D017046:Cost Savings / Q000639:trends; D003631:Day Care, Medical / Q000191:economics* / Q000639:trends; D005260:Female; D005544:Forecasting; D005858:Germany; D017722:Hospital Charges / Q000639:trends*; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000639:trends; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000191:economics* / Q000628:therapy; D008875:Middle Aged; D011567:Psychiatric Department, Hospital / Q000191:economics* / Q000639:trends; D012040:Regional Health Planning / Q000639:trends; D012051:Reimbursement Mechanisms / Q000191:economics* / Q000639:trends