Lehnhardt, Fritz-Georg, Dohle, Ines, Sartorius, Alexander ORCID: 0000-0002-1243-3693 and Groezinger, Michael (2018). In-depth analysis of cost structure for electroconvulsive therapy in a performance-based hospital budget. Forschritte Neurol. Psychiatr., 86 (11). S. 680 - 690. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

Objective New medical guideline recommendations for the treatment of major depressive disorders and regulative changes in the payment system of the German mental health care system warrant a revision of the framework in which electroconvulsive therapies (ECT) are offered. Methods A cost structure analysis of the clinical resources essential for the ECT procedure was conducted and economically validated, exemplified at a German inpatient ECT treatment center. Results The identification of directly attributable costs to the ECT intervention presupposes an accurate assessment of personnel engagement time and material consumption as well as an inclusion of overhead costs for the operational readiness of the hospital. Conclusion The increasing importance of ECT in the clinical portfolio of therapy options demands an adequate refunding to support the expansion of this highly effective treatment. For the calculation of an appropriate reimbursement for ECT and ascertaining an acceptable contribution, a detailed knowledge of personnel costs and infrastructure settings of the respective hospitals is required.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Lehnhardt, Fritz-GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dohle, InesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sartorius, AlexanderUNSPECIFIEDorcid.org/0000-0002-1243-3693UNSPECIFIED
Groezinger, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-166434
DOI: 10.1055/s-0043-118337
Journal or Publication Title: Forschritte Neurol. Psychiatr.
Volume: 86
Number: 11
Page Range: S. 680 - 690
Date: 2018
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-3522
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SAFETYMultiple languages
Clinical Neurology; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16643

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