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Chancen und Entwicklung der psychiatrischen Institutsambulanzen. Das Psych-Entgelt

Chancen und Entwicklung der psychiatrischen Institutsambulanzen. Das Psych-Entgelt

          
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About the Book

Masterarbeit aus dem Jahr 2015 im Fachbereich VWL - Gesundheitsökonomie, Note: 3,0, Hochschule Fresenius; Köln, Veranstaltung: Management im Gesundheitswesen und Gesundheitsökonomie, Sprache: Deutsch, Abstract: Die Idee der Psychiatrischen Institutsambulanzen als vorgeschaltete Ambulanz für psychiatrische Kliniken entstand bereits 1975 im Rahmen der Psychiatrie-Enquete. Grundgedanke war, die psychiatrische Versorgung nicht mehr wie zu der Zeit meist üblich in großen stationären Einrichtungen durchführen zu lassen, sondern gemeindenah und in Zusammenspiel mit dem Umfeld der betroffenen Patienten. Seitdem haben sich Psychiatrische Institutsambulanzen zu einem wichtigen Bestandteil der psychiatrischen Versorgung entwickelt, insbesondere für chronisch und schwer erkrankte Patienten. Stand in der Zeit von den 70er bis zu Ende der 90er Jahre der Aufbau von Strukturen nach den Vorgaben der Psychiatrie-Enquete im Vordergrund, so traten ab Anfang der 2000er Jahre neue wichtige Trends im Gesundheitswesen hinzu, die eine Auswirkung auch auf das psychiatrische Versorgungsgeschehen hatten. Bedingt durch die Zunahme psychiatrischer Erkrankungen in der Bevölkerung stellte sich im ambulanten Sektor eine Unterversorgung mit psychiatrischen und psychotherapeutischen Angeboten ein. Gleichzeitig stiegen die Zahlen der Krankenhausaufenthalte, der berufsbedingten Berentungen und der Arbeitsunfähigkeitstage und damit die volkswirtschaftlichen Kosten für psychische Erkrankungen signifikant an. 2009 wurde daher seitens des Gesetzgebers die Selbstverwaltung damit beauftragt, ein leistungsbezogenes pauschaliertes Entgelt für stationäre Aufenthalte in der Psychiatrie zu entwickeln. Mit diesen sog. PEPP wurde die Anreizstruktur für die stationären Leistungserbringer verändert und die Rahmenbedingungen für eine stärkere Leistungsbezogenheit der Vergütung und der Vergleichbarkeit von Einrichtungen untereinander geschaffen. Als weitere gesundheitspolitische Entwicklung zeigt der Bereich der Integr


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Product Details
  • ISBN-13: 9783656918738
  • Publisher: Grin Verlag Gmbh
  • Binding: Paperback
  • Language: German
  • Returnable: N
  • Spine Width: 5 mm
  • Width: 148 mm
  • ISBN-10: 3656918732
  • Publisher Date: 16 Mar 2015
  • Height: 210 mm
  • No of Pages: 76
  • Series Title: German
  • Weight: 109 gr


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