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[Secondary Data Analysis of Initially Treated In-patients with Schizophrenia in a Model Project in Berlin (According
Andrea Budnick1, Ronny Kuhnert1, Helen Schmidt1,2
1Institut für Medizinische Soziologie und Rehabilitationswissenschaft,Charité Universitätsmedizin Berlin, Berlin, Deutschland.
Aim Of The Study:
Schizophrenia 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.
Methods:
By using statutory data, we analyzed target figures. We analyzed patients of 3 cohorts. Propensity Score Matching generated a control group in each cohort.
Results:
The 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 The presented model project achieved the aimed shift of psychiatric health service into the outpatient sector for schizophrenia patients.
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