[Optimized quality of care for affective disorders by health insurance-based case-management: a controlled cost-study].

Abstract:

OBJECTIVE:Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments. METHODS:Training of health insurance account managers (characteristics of depression, counselling and, case management techniques). Evaluation of outcomes during 12-months against a control group of account managers without training. RESULTS:Intervention group: 87.8 % patients with in average 13.5 contacts to psychiatrists or psychotherapists; control group: 82.6 % patients with 11.8 contacts. The difference was statistically significant. Health insurance payments did not differ. CONCLUSIONS:A higher treatment rate by psychiatrists and psychotherapists can be achieved by health insurance-based case-management without a cost-increase.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Salize HJ,Jacke C,Gallas C,Stamm K

doi

10.1055/s-0033-1349557

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

432-8

issue

8

eissn

0303-4259

issn

1439-0876

journal_volume

41

pub_type

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