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首页> 外文期刊>European archives of psychiatry and clinical neuroscience >The DGPPN research project on mental healthcare utilization in Germany: inpatient and outpatient treatment of persons with depression by different disciplines.
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The DGPPN research project on mental healthcare utilization in Germany: inpatient and outpatient treatment of persons with depression by different disciplines.

机译：DGPPN关于德国精神保健利用的研究项目：不同学科对抑郁症患者的住院和门诊治疗。

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The analysis of the utilization of mental healthcare services using routine data provided by statutory health insurance companies and pension funds is a way to assess the frequency of service use, the distribution of the service use among various healthcare settings (inpatients vs. outpatients, rehabilitation according mainly to the German Social Code Book IX vs. curative treatment according to the German Social Code Book V [note that some elements of rehabilitation are financed according to Social Code Book V as well]) and medical disciplines (psychiatry and psychosomatic medicine vs. somatic disciplines and general medicine). In addition, these data can provide information on the social consequences of mental disorders, as assessed by the number of cases and the duration of sick leave or case numbers of early retirement due to mental disorders. In this study, healthcare utilization data from 10 million Germans were analysed. Within a 3?year observation period (2005-2007), about one-third (approx. 3.3 million) persons had a contact with a healthcare service due to a diagnosis of the ICD-10 groups F0-F5. Given the large number of persons with depression in Germany, the initial results of an analysis of mental healthcare utilization due to depression are presented here. Among the study group of 3.3 million Germans with mental healthcare utilization within the observation period, 1.4 million had at least one contact to healthcare system due to the diagnosis of depression. In most cases, depression was diagnosed without specification of severity. It was found that non-psychiatric disciplines like general practitioners were the most frequently used providers in outpatient mental health care, whereas inpatient treatment predominantly occurred in psychiatric departments. For those persons with depression for which a severity-indicating ICD-10 code was used, it was found that utilization of psychiatric and psychosomatic disciplines increased in both in- and outpatient treatment compared to use of general medical facilities with more severe depression. Specialists for psychosomatic medicine and psychological psychotherapists predominantly treated cases of mild and moderate depression, whereas severe cases were mostly cared for by psychiatrists or psychiatric departments.
机译：使用法定健康保险公司和养老基金提供的常规数据来分析心理医疗服务的利用情况，是一种评估服务使用频率，各种医疗机构（住院患者与门诊患者，康复依据）之间服务使用分布的方法。主要针对德国社会法典IX的治疗与根据德国社会法典V的治疗[注意，康复的某些要素也根据社会法典V的资助]和医学学科（精神病学和心身医学与躯体医学）学科和一般医学）。此外，这些数据可以提供有关精神障碍的社会后果的信息，可以通过病例数和病假的持续时间或由于精神障碍而提前退休的病例数来评估。在这项研究中，分析了来自1000万德国人的医疗保健利用率数据。在3年的观察期内（2005-2007年），由于诊断出ICD-10组F0-F5，约有三分之一（约330万）人接触了医疗保健服务。鉴于德国有大量的抑郁症患者，此处介绍了由抑郁症引起的精神保健利用分析的初步结果。在观察期内有330万德国人使用精神保健服务的研究组中，有140万人因诊断出患有抑郁症而至少接触过一个医疗保健系统。在大多数情况下，抑郁症的诊断没有明确的严重程度。研究发现，像全科医生这样的非精神病学学科是门诊精神卫生保健中最常用的提供者，而住院治疗主要发生在精神病学部门。对于那些使用严重性指示ICD-10代码的抑郁症患者，发现与使用更严重抑郁症的普通医疗机构相比，在住院和门诊治疗中，精神科和心身学科的使用率均有所提高。心身医学专家和心理心理治疗师主要治疗轻度和中度抑郁症，而重症患者大多由精神科医生或精神病科负责。

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