Universität zu Köln

Nelles, G., Bergmann, F., Gold, R., Meier, U., Roth-Sackenheim, C., Fink, G., Grond, M., Albrecht, M. and Bohlken, J. (2015). Neurologic and Psychiatric Health Care Services in Private Practices and Hospitals: Providing Care for Patients with Dementia. Aktuelle Neurol., 42 (7). S. 418 - 426. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-9428

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Abstract

The sector boundaries between outpatient and inpatient care providers can cause breaks in the continuity of care. The German Society of Neurology (DGN), the professional associations of German Neurologists, Psychiatrists (BVDN, BDN and BVDP) and the National Association of Statutory Health Insurance Physicians (KBV) and the Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (ZI) therefore commissioned the IGES Institute to write up a report in order to have a strong analytic-empirical data basis for debate on the current highly controversial health policy. The care of patients with multiple sclerosis, dementia and schizophrenia were analyzed from sector-border perspective. Extensive patient-related data of the Barmer GEK health insurance is the basis of the present study. Here the results are presented on the care of patients with dementia (n= 130, 952 in 2010). Specialists in neurology and psychiatry were involved in the treatment of only about 42.3% of patients with dementia in 2010. Even less was the participation of specialists at initial diagnosis (25 %). The participation of specialists in the care of patients with dementia shows significant regional differences. Anti-dementia drugs are more frequently prescribed by medical specialists and more rarely by general practitioners. Dementia-related inpatient hospitalizations are rare (7 %), but vary markedly regionally. There is no correlation with the supply of beds and only a weak correlation with the number of outpatient practitioners and specialists in a region. The report underscores the need for a more cross-sectoral care planning.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Nelles, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergmann, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gold, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meier, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roth-Sackenheim, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fink, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grond, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Albrecht, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bohlken, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-394129
DOI:	10.1055/s-0035-1552719
Journal or Publication Title:	Aktuelle Neurol.
Volume:	42
Number:	7
Page Range:	S. 418 - 426
Date:	2015
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-9428
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39412