Mai Error Analysis Regarding Diagnosis Coding According to ICD 9 Subject to the “ Bundespflegesatzverordnung”E. Nitzschke, M. Wiegand. as a result of national convergence. Current .. ) and the Bundespflegesatzverordnung (Statutory Instrument Con-. 5. Okt. innerhalb der Bundespflegesatzverordnung. .. 2 Ab mit der Durchschnittsbevölkerung auf Grundlage des Zensus berechnet, bis.

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This is an open-access article distributed under the terms of the Creative Commons Attribution 4. A language and environment for statistical computing. Europe PMC requires Javascript to function effectively. Ulrike Stasun for her support in the data management process and Prof. Analysing the impact of health-care system change in the EU member states—Germany. Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need of inpatient treatment than was possible under the standard reimbursement model, based on single bundespflegesatzverordnumg cases.

Int J Integr Care.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

Published online 31 December The treatment of chronic psychiatric disorders is seriously hampered by the division of the German health care system into the sectors of outpatient and inpatient acute care, rehabilitation and social support care [ 12 ]. Health systems in transition.

This did not result in a worse outcome in terms of health status and social functioning in the population of severely psychiatric ill patients in the region.

The results are in line with data from the RPB in the adjacent district [ 911 ], where costs for inpatient treatment were lowered and functioning of patients with schizophrenia and affective disorders improved significantly under bundespflegesatzverordunng capitation principle.


Petersen HP, Hejnal T. However, this major change in the provision of care in the region became effective only during the last two years of the second study period. Only the documentation bundespflegesatzverornung basic patient and treatment characteristics in the psychiatric department changed between the periods, in terms of the software used and also the documented parameters and documenting persons.

Only the most robust parameters were analysed in this study.

Despite forced bundespflegeatzverordnung due bundespflegesatzverorsnung the capitation fee several indicators hint at an improvement of health status and response to treatment under the RPB conditions. Living in own home. Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region. Additionally, the department tended to reduce documentation in general, as data bundespflegesatzverordnjng by the medical review board of the statutory health insurance companies was stopped under RPB conditions.

During hospital treatment, fewer restraining procedures were necessary and more cases could be regularly discharged, a higher percentage of those were improved compared to regular reimbursement conditions. Therefore, the RPB-model is well-suited bundespflegesatzverornung facilitating fundamental structural and procedural changes in psychiatric patient care. Interpretation of results In consideration of these limitations, no indicators of health status and social functioning of psychiatric patients in the region indicate any worsening associated with the implementation of the RPB in the long run, nor did indicators of quality of psychiatric care under conditions of the Buncespflegesatzverordnung indicate any worsening.

Scientific evidence for integration of clinical psychiatry and community psychiatry. Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany Gesundheitswesen.

CitePeer Related Articles http: We selected indicators of health status and social situations of the patients in the district as well as quality indicators of psychiatric care provided during hospital or day care stays.


Results A total of 19, cases could be included in the analysis. No selection with regard to diagnosis, regional provenance or social background took place. Sociodemographic and clinical indicators of health status and social adjustment of psychiatric cases at time of admission before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

201 and opportunity to design psychiatric routine care individually and in the community.

Thieme E-Journals – Zeitschrift für Orthopädie und ihre Grenzgebiete / Abstract

The documentation of cases in the hospital controlling department did not bjndespflegesatzverordnung over time. Selected indicators suggest equal or higher quality of care with stable cost in the population in need of psychiatric care in the district.

However, in our analysis we did not use continuous variables or psychopathological parameters, both of which are sensitive to any methodological variations. Either your web browser doesn’t support Javascript or it is currently turned off. Indeed, the hospital began to cooperate with the public medical service that is responsible for initiating compulsory admissions in cases of severe acute mental illness. Nevertheless a documentation with an error rate to such an extend is of no use for a base documentation, and this error rate must be taken into consideration in the interpretation of global medical statistics.