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[High utilisers with affective and schizophrenic disorders in the psychiatric health care system: a comparison
Kathrin von Rad1, Bernd Puschner2, Hermann Spießl3
1Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie des Universitätsklinikums Hamburg-Eppendorf.
Objective:
High utilisers of psychiatric services are defined as a group of patients showing a great amount of service use, especially inpatient care, consequently causing immense costs. There is a lack of studies investigating differences between East and West Germany.
Methods:
Service use and psychopathology were examined in 350 high utilisers receiving inpatient treatment in one East German and three West German psychiatric hospitals.
Results:
Whereas current length of stay was higher in participants from West Germany, readmissions were more frequent in the East German participants who also exhibited higher psychopathology.
Conclusion:
Presumably, the deficient situation of outpatient health care in East Germany is compensated by increased stationary admission, consequently leading to a structural promotion of high utilisation.
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