[Changes in mental health care by a regional budget: results of a pilot Project in Schleswig-Holstein (Germany)]. / Veränderung der psychiatrischen Versorgung durch ein Regionales Budget: Ergebnisse eines Modellprojektes in Schleswig-Holstein.
Psychiatr Prax
; 37(7): 335-42, 2010 Oct.
Article
em De
| MEDLINE
| ID: mdl-20703985
ABSTRACT
OBJECTIVES:
In a region of Schleswig-Holstein, a regional budget was used to investigate which structural changes would be brought about by a financial plan which enables (clinical) treatment that defies rigid financial limits and makes flexible treatment in various settings possible.RESULTS:
In 5 years, the number of inpatient treatment places in the care region was reduced considerably. The length of stay per patient and year decreased by 25â%. Day care and outpatient treatment offers were expanded substantially and new treatment concepts were established. The quality of treatment remained safeguarded.CONCLUSIONS:
A regional budget is suitable for bringing about fundamental changes in terms of content and structure in psychiatric care. The result is clearly improved flexibility as compared to previous care structures; incentives for disorders are reduced. The principle "outpatient before inpatient" is strengthened. The financial plan can be transposed onto other regions, whereby modifications according to the structure of the care region seem necessary.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Programas Médicos Regionais
/
Orçamentos
/
Alocação de Recursos para a Atenção à Saúde
/
Atenção à Saúde
/
Transtornos Mentais
/
Serviços de Saúde Mental
/
Programas Nacionais de Saúde
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
/
Sysrev_observational_studies
País como assunto:
Europa
Idioma:
De
Ano de publicação:
2010
Tipo de documento:
Article