[Cost-effectiveness of galantamine in a german context].

Abstract:

OBJECTIVE:The application of acetylcholinesterase (AChE) inhibitors seems to be constrained in the German health care system. We investigate the cost-effectiveness of the AChE inhibitor Galantamine for patients with Alzheimer's disease (AD) in a German context. METHOD:A Markov model as the decision theoretic framework is applied to compare two treatment scenarios (Placebo vs. Galantamine). The incremental cost-utility ratio based on different sources of data is calculated as decision criteria. RESULTS:In the base case, the application of the AChE inhibitor Galantamine is a dominant scenario with cost savings along with gained quality adjusted life years. It is not cost saving from the perspective of third party payers in Germany. Results are sensitive regarding assumptions about efficacy of the drug and mortality in the analysed cohort. CONCLUSION:The German reimbursement system places an obstacle to the application of Galantamine. Further research is needed to tackle uncertainties in the model.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Happich M,Schweikert B,Mühlbacher A

doi

10.1055/s-2004-834709

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

142-50

issue

3

eissn

0303-4259

issn

1439-0876

journal_volume

32

pub_type

临床试验,杂志文章
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    doi:

    authors: Pedrosa Gil F,Luderer HJ

    更新日期:2000-11-01 00:00:00

  • [Development and validation of an overall instrument to measure craving across multiple substances: the Mannheimer Craving Scale (MaCS)].

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1067546

    authors: Nakovics H,Diehl A,Geiselhart H,Mann K

    更新日期:2009-03-01 00:00:00

  • [Art therapy in psychiatry (author's transl)].

    abstract::The author tries to convey an idea of the process which takes place during art therapy, quoting examples from her own work with mentally diseased patients. She considers the visual message resulting from the work of art created by the patient, as a process of communication which takes place between the patient and the...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Wellendorf E

    更新日期:1980-02-01 00:00:00

  • [Department social climate on mixed sex and segregated acute psychiatric units. Results of a survey].

    abstract::The segregation of sexes in an acute psychiatric unit was followed up by means of a research survey. Patients and staff members were questioned about the ward climate before and after changing the admission procedure. The male patients merely noticed a decreased influence of sexual problems on the ward atmosphere. The...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Vieweg T,Schubert R,Lemke S

    更新日期:1996-11-01 00:00:00

  • [Diagnosis and treatment of borderline disorders within the scope of inpatient psychiatric care].

    abstract::Borderline-patients compose a group of severe problem-patients on psychiatric inpatient units. Among other topics this concerns the difficult differential diagnosis, attitudes of demandingness and entitlement, feelings of depressive despair, acting out and impulsive behavior. Using a process oriented diagnostical appr...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Lohmer M

    更新日期:1990-09-01 00:00:00

  • [The residential structure as a therapeutic instrument].

    abstract::The frequency of residential placements in homes and households contrasts with the scarcity of its evaluation with respect to therapeutical effects. In order to facilitate evaluative studies, relevant structural elements and suggestions for a typology are discussed as well as methodological problems. Examples of empir...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Uchtenhagen A

    更新日期:1984-09-01 00:00:00

  • ["On hidden madness"--"De amentia occulta" by Ernst Platner in early 19th-century tension of medicine and jurisprudence].

    abstract::During the first half of the 19th century psychiatry became more and more influential in the evaluation of mentally ill offenders. "Doubtful" states of mind gained a particular importance for forensic practice. One of the mental disorders that was heavily disputed was amentia occulta (hidden madness) first described b...

    journal_title:Psychiatrische Praxis

    pub_type: 传,历史文章,杂志文章

    doi:10.1055/s-2007-986239

    authors: Haack K,Steinberg H,Herpertz SC,Kumbier E

    更新日期:2008-03-01 00:00:00

  • [Changes in the provision of psychiatric services at a psychiatric district hospital].

    abstract::Changes in the provision of psychiatric services within the last decennials are probably best understood if the impact of national socialism on clinical psychiatry is regarded. Many psychiatrists took part in the "Aktion T4" the organised killing of their patients, at least they did not resist campaigns directed to ki...

    journal_title:Psychiatrische Praxis

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-2004-828483

    authors: Schaub R

    更新日期:2004-11-01 00:00:00

  • [Quality assurance and documentation for community mental health services cooperative (GPV). A standardized procedure for regional health care documentation and planning].

    abstract::This paper describes a standardized assessment-procedure for the so-called "Gemeindepsychiatrische Verbünde" in Germany (GPV-Documentation), which are regional combines of community-based mental health care services. It is the first procedure in Germany which puts data on psychiatric care offers, needs for care and se...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Salize HJ,Bullenkamp J,Alscher I,Wolf I

    更新日期:2000-03-01 00:00:00

  • [Asylum Law and Mental Health: An Interdisciplinary Analysis of the Coaction of Medical and Legal Aspects].

    abstract:OBJECTIVE:Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. METHODS:Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the lega...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0035-1552730

    authors: Hanewald B,Gieseking J,Vogelbusch O,Markus I,Gallhofer B,Knipper M

    更新日期:2016-04-01 00:00:00

  • [The expanded suicide attempt in depressive patients and its sequelae. The forensic and therapeutic considerations in 3 case reports].

    abstract::Despite of the frequency of depressive disorders among the population, forensic aspects of depression are rare and usually focussed on suicidal behaviour, especially the so-called homicide-suicide (homicide followed by suicide). Today therapeutic strategies are seen in the first stage of dealing with depressed homicid...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Wolfersdorf M,Frank U,Jokusch U,König F,Leibfarth M

    更新日期:1997-11-01 00:00:00

  • [Psychiatric care research--an instrument for planning health care needs].

    abstract::The planning of health care is primarily an administrative task. Service research supports the health administration in this task by supplying empirical data to objectify the need for care and ways to cater for that need. In this, service research on the one hand draws on descriptive and analytical data of epidemiolog...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Rössler W

    更新日期:2000-09-01 00:00:00

  • [Alcoholic delusion of jealousy--psychopathologic characteristics of 2 types of disease course].

    abstract::Based on the evaluation of case reports of 15 inpatients treated between 1971 and 1986 who had been suffering from persistent alcoholic jealousy mania for at least three years, the psychopathological characteristics of this disease are outlined to define two types of courses of the disturbance: on the one hand, the mo...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Soyka M,Sass H,Völcker A

    更新日期:1989-09-01 00:00:00

  • [German language skills among foreign psychiatric patients: influence on voluntariness and duration of hospital treatment].

    abstract:OBJECTIVE:According to the increasing number of foreign psychiatric patients in the German society, the influence of their linguistic integration on treatment characteristics is to be investigated. METHODS:With criteria of nationality and German language skills, data of 6151 in-patients was collected and statistically...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828421

    authors: Künzler N,Garcia-Brand E,Schmauss M,Messer T

    更新日期:2004-11-01 00:00:00

  • [A brief instrument for the assessment of childhood abuse and neglect: the childhood trauma screener (CTS)].

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    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0031-1298984

    authors: Grabe HJ,Schulz A,Schmidt CO,Appel K,Driessen M,Wingenfeld K,Barnow S,Spitzer C,John U,Berger K,Wersching H,Freyberger HJ

    更新日期:2012-04-01 00:00:00

  • [Non-cognitive symptom profiles in dementia--experience from psychiatric services and memory clinics].

    abstract:OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rainer M,Mucke HA,Masching A,Haushofer M

    更新日期:1999-03-01 00:00:00

  • [German language psychiatry journals in Germany - a quantitative analysis].

    abstract:OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0031-1276955

    authors: Heidenreich U,Baethge C

    更新日期:2012-01-01 00:00:00

  • [Patient-centered group therapy--an indirect form of managing gerontopsychiatric patients].

    abstract::Indirect care for gerontopsychiatric patients by means of patient-centered group discussions under the heading "How to deal with Difficult Patients" is presented as a succession of case reports concerning the progress and course of the first year of a team counselling project in a home for aged persons. The theoretica...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Wetzikon AE

    更新日期:1987-11-01 00:00:00

  • [Management of drug dependent patients in Offenbach/Main and experiences with after-care at the psychiatric department of urban clinics].

    abstract::The report describes the inpatient and out-patient treatment facilities for alcoholics in a defined catchment area and the experience gathered by the initiation of out-patient group therapy for a group of alcoholics at the general community hospital in Offenbach/Main. The goal of the group therapy at the hospital was ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Fiedler D

    更新日期:1994-01-01 00:00:00

  • [Promoting Self-Management in Primary Care - the Association of Motivation for Change, Self-Efficacy and Psychological Distress Prior to the Onset of Intervention].

    abstract::Anxiety, depressive and somatoform disorders are highly prevalent in primary care. Managing these disorders is time-consuming and requires strong commitment on behalf of the general practitioners (GPs). Furthermore, the resources for the management of these patients are limited by the increasing workload in primary ca...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1055/s-0034-1387686

    authors: Zimmermann T,Puschmann E,Porzelt S,Ebersbach M,Ernst A,Thomsen P,Scherer M

    更新日期:2015-07-01 00:00:00

  • [Effects of aggression management trainings for mental health care and disability care staff--systematic review].

    abstract:BACKGROUND:Aggression management trainings for staff have been implemented in many organizations of mental health care and disability care. The efficacy of such programmes has rarely been analysed. METHODS:A systematic review was conducted which contains all published evaluation studies on aggression management traini...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-940063

    authors: Richter D,Needham I

    更新日期:2007-01-01 00:00:00

  • [Theory of schizophrenia and community psychiatry--conclusions from current models for management].

    abstract::Starting with Ciompis model of "affect logic" I want to show that affective, cognitive and behavioral patterns, once emerged in psychosis, subsequently tend to repetition and chronification on account of psychological, social but also neuronal plasticity. In the discussion about reasons of the chronification process, ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Hoffmann H

    更新日期:1995-01-01 00:00:00

  • [Association between fear of stigma, depressive and anxiety symptoms in patients with somatoform pain disorder].

    abstract:OBJECTIVES:There is still poor acceptance for pain without somatic causes, and patients with somatoform pain disorder carry a stigma per se. The aim of this study was to identify predictors of fear of stigma including depression, anxiety and somatisation among patients with somatoform pain disorder. METHODS:132 patien...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0032-1305096

    authors: Freidl M,Piralic-Spitzl S,Grohe N,Aigner M

    更新日期:2012-08-01 00:00:00

  • [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].

    abstract:OBJECTIVE:Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. METHODS:Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and...

    journal_title:Psychiatrische Praxis

    pub_type: 评论,杂志文章

    doi:10.1055/s-0032-1327201

    authors: Haun MW,Kordy H,Ochs M,Schweitzer J,Zwack J

    更新日期:2012-11-01 00:00:00

  • [Interactive Health Literacy, Sociodemographic Characteristics and the Uptake of Psychotherapeutic or Pharmacological Interventions - are there Social Inequalities in the Treatment of Social Anxiety Disorder?]

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    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-1294-0950

    authors: Ernstmann N,Heuser C,Halbach S,Wegener I,Rambau S,Forstner AJ,Schumacher J,Mücke M,Geiser F,Conrad R

    更新日期:2020-11-24 00:00:00

  • [Migration and Addiction Services--Utilization Among People with a Migration Background].

    abstract:AIM:The present contribution scrutinizes the assumption that people with a migration background (PMB) make less use of addiction services than non-migrants. METHODS:Differentiated by diagnoses, the proportions of PMB in the Statistical Report on Substance Abuse Treatment in Germany are compared to the share of PMB in ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0034-1387291

    authors: Rommel A,Köppen J

    更新日期:2016-03-01 00:00:00

  • [Changes on Ward Atmosphere and Job Satisfaction after Implementation of the Safewards Model in Two Locked Acute Psychiatric Wards - A Multi-Perspective Evaluation].

    abstract:OBJECTIVE:Evaluation of the changes of ward atmosphere and job satisfaction after the implementation of the Safewards model in acute psychiatry in Germany. METHOD:A multi-perspective pre-post study design was conducted in two locked wards among patients (n = 80) and staff (n = 88) before and after the implementation o...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-0945-3599

    authors: Jäckel D,Baumgardt J,Helber-Böhlen H,Stiehm N,Morgenstern K,Voigt A,Mc Cutcheon AK,Schöppe E,Velasquez Lecca EE,Löhr M,Schulz M,Bechdolf A,Weinmann S

    更新日期:2019-10-01 00:00:00

  • [Attitude of family to clozapine].

    abstract:AIM:Evaluations of clozapine treatment by relatives of schizophrenic patients were assessed as part of an exploratory study and compared with the patients' own assessment. METHOD:46 relatives of individuals suffering from schizophrenia were questioned by means of a problem-centred interview. RESULTS:In addition to th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Angermeyer MC,Boitz K,Löffler W,Müller P,Priebe S

    更新日期:1999-07-01 00:00:00

  • [Concept and services provided by a mobile pediatric and adolescent psychiatric service in a rural area].

    abstract::A mobile child and youth psychiatric service is presented that concerned with the mental health care of a county with a population of 239,000 inhabitants. This kind of service was conceived especially to meet the demands of rural regions which are high, as empirical investigations about administrative and real prevale...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Remschmidt H,Walter R,Warnke A

    更新日期:1990-05-01 00:00:00

  • [Structure and contents of online counselor's responses in the field of eating disorders].

    abstract:OBJECTIVE:The importance of online counselling for many areas of health care has been increasing over the last years. Nevertheless, there is a lack of systematic research on the quality and specifics of the therapeutic intervention. METHODS:n = 1056 responses written by online counsellors between 12 / 2007 and 11 / 20...

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    pub_type: 杂志文章

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    authors: Wesemann D,Fritsch S,Kündiger C,Grunwald M

    更新日期:2010-11-01 00:00:00