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Johanna Jedamzik, Hanna Kampling, Andrea Christoffer

    Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
    |June 27, 2025
    PubMed
    Summary
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    The 2017 outpatient psychotherapy guideline reform did not directly increase care for patients with chronic physical conditions (kE). However, performance metrics suggest a positive impact from utilizing new care elements.

    Area of Science:

    • Psychiatry and Psychotherapy
    • Health Services Research

    Context:

    • The 2017 reform introduced "psychotherapeutic consultation times" and "acute short-term psychotherapeutic interventions" into outpatient psychotherapy guidelines.
    • Assessing the impact of guideline reforms on patient care is crucial for evidence-based healthcare.

    Purpose:

    • To evaluate whether the 2017 structural reform of the outpatient psychotherapy guideline improved care for patients with mental disorders and chronic physical conditions (kE).

    Summary:

    • Analysis of routine data (2015-2019) from the National Association of Statutory Health Insurance Physicians examined psychotherapeutic service provision for kE patients.
    • The percentage of kE patients among those with mental disorders increased steadily from 2015-2019, independent of the reform.
    • Psychological psychotherapists treated 27.7% and medical psychotherapists treated 29.5% of kE patients, with similar service development for kE and non-kE patients.
    Keywords:
    Outpatient Psychotherapy - reform of the psychotherapy-policy 2017 - results of the ES-RiPStudy - health service research - reachability of psychotherapyPsychotherapie-Richtlinie Reform 2017 - Akutbehandlung - Ergebnisse der ES-RiP-Studie - Versorgungsforschung Psychotherapie

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    Impact:

    • The study suggests that while the reform did not directly cause the rise in kE treatment, it may have positively influenced performance through the adoption of new care elements.
    • Findings indicate a need for continued evaluation of guideline reforms and their specific impact on vulnerable patient populations.