德国门诊心理治疗 - - 对结构改革的评估
Johannes Kruse1, Hanna Kampling, Soufiane Filali Bouami
1Department of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany; Department for Psychosomatic Medicine and Psychotherapy, Medical Center of the Philipps University Marburg, Marburg, Germany; aQua - Institute for Applied Quality Improvement and Research in Health Care GmbH, Göttingen, Germany; Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Münster, Münster, Germany; Department of Medicine and Health Services Research, BARMER Institute for Health System Research, Wuppertal, Germany; Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
2017年德国心理治疗指南改革并没有显著改善伴随性精神和身体疾病 (cMP) 患者的治疗机会. 等待时间增加,这表明需要采取进一步的步骤,以获得公平的精神卫生保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理治疗 访问 心理治疗 访问
- 伴随性疾病的研究.
背景情况:
- 2017年德国心理治疗指南改革旨在改善门诊护理的准入.
- 研究重点关注这项改革对患有并发性精神和慢性身体疾病 (cMP) 的患者的影响.
研究的目的:
- 评估2017年德国心理治疗指南改革的有效性.
- 评估初始接触率和心理治疗等待时间的变化.
- 具体分析cMP患者的结果.
主要方法:
- 使用法定医疗保险数据 (BARMER) 进行基于人口的前后分析.
- 主要终点:初始接触率和指导心理治疗的等待时间.
- 二级终点:患者报告的经验和医疗保健状况数据 (KBV).
主要成果:
- 在cMP (3.7%至3.9%) 和非cMP (7.3%至7.6%) 患者中,初始心理治疗接触的适度增加.
- 对于这两组人来说,指导心理治疗的等待时间显著增加.
- 8%寻求心理治疗的患者报告没有获得心理治疗.
结论:
- 2017年的改革并没有显著降低任何患者群体的心理治疗准入障碍,包括患有cMP的患者.
- 需要采取额外的措施,以确保门诊护理满足所有患者的需求,特别是那些患有复杂并发症的患者.
相关概念视频
Psychodynamic Therapy
Psychotherapy
Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Interpersonal Psychotherapy
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...


