Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) | 2021
[Secondary Data Analysis of Initially Treated In-patients with Schizophrenia in a Model Project in Berlin (According to § 64b SGB V)].
Abstract
AIM OF THE STUDY\nSchizophrenia is one of the most severe psychiatric diseases. The German health care system still shows gaps in services for chronic psychiatric patients with intense need of treatment. The present article focused on changes in provision of health services for initially treated in-patients with schizophrenia in St. Hedwig hospitals in Berlin according to § 64b SGB V compared to patients receiving regular in-patient treatment.\n\n\nMETHODS\nBy using statutory data, we analyzed target figures. We analyzed patients of 3 cohorts. Propensity Score Matching generated a control group in each cohort.\n\n\nRESULTS\nThe final analysis showed for schizophrenia patients treated in the model project that the number of hospital stays and overall length of stay decreased, but overall costs decreased only partially. Moreover, the period (in days) until next re-hospitalization was longer, while the sum of contacts to the outpatient sector increased. Conclusions\u2002The presented model project achieved the aimed shift of psychiatric health service into the outpatient sector for schizophrenia patients.