[Optimized quality of care for affective disorders by health insurance-based case-management: a controlled cost-study]

Psychiatr Prax. 2014 Nov;41(8):432-8. doi: 10.1055/s-0033-1349557. Epub 2013 Oct 2.
[Article in German]

Abstract

Objective: Improvement of depression treatment by health insurance based case-management. Criteria of improvement were a higher treatment rate of patients suffering from affective disorders or depression by psychiatrists or psychotherapists than by general practitioners or family doctors and sickness fund payments.

Methods: Training of health insurance account managers (characteristics of depression, counselling and, case management techniques). Evaluation of outcomes during 12-months against a control group of account managers without training.

Results: Intervention group: 87.8 % patients with in average 13.5 contacts to psychiatrists or psychotherapists; control group: 82.6 % patients with 11.8 contacts. The difference was statistically significant. Health insurance payments did not differ.

Conclusions: A higher treatment rate by psychiatrists and psychotherapists can be achieved by health insurance-based case-management without a cost-increase.

Publication types

  • Controlled Clinical Trial
  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care / economics
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / economics*
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy*
  • Case Management / economics*
  • Cost-Benefit Analysis
  • Depressive Disorder / diagnosis
  • Depressive Disorder / economics*
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy*
  • Female
  • Follow-Up Studies
  • General Practice / economics
  • Germany
  • Humans
  • Male
  • Middle Aged
  • National Health Programs / economics*
  • Psychotherapy / economics
  • Quality of Health Care / economics*
  • Recurrence
  • Young Adult