A study of costs and length of stay of inpatient naturopathy – Evidence from Germany

Romeyke, Tobias; Stummer, Harald

doi:10.1016/j.ctcp.2010.09.001

Cited by 16 publications

(14 citation statements)

References 11 publications

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“…Within the OPS, anthroposophic medical complex treatment was established in 2005 as a special code (OPS 8-975.3; Table 1) [8, 9]. This is owed to the fact that AM requires an intense use of resources (counseling, diagnosis, and treatment planning), therapeutic intervention (physical therapy, such as eurhythmy, art therapy, music therapy, and rhythmical massage), and nursing interventions (external applications such as wound and liniments).…”

Section: Introductionmentioning

confidence: 99%

“…This is owed to the fact that AM requires an intense use of resources (counseling, diagnosis, and treatment planning), therapeutic intervention (physical therapy, such as eurhythmy, art therapy, music therapy, and rhythmical massage), and nursing interventions (external applications such as wound and liniments). Once a patient receives at least 30 therapeutic units within his inpatient treatment coded with this digit, an additional unweighted payment “ZE-26” (anthroposophic complex medical treatment additional payment) is generated [9, 10]. This additional payment has to be negotiated and agreed on by each hospital individually with insurance companies as a part of the remuneration negotiations according to the hospital remuneration act [11].…”

Section: Introductionmentioning

confidence: 99%

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Cost Analysis of Integrative Inpatient Treatment Based on DRG Data: The Example of Anthroposophic Medicine

Heinz¹,

Fiori

Heusser

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Background. Much work has been done to evaluate the outcome of integrative inpatient treatment but scarcely the costs. This paper evaluates the costs for inpatient treatment in three anthroposophic hospitals (AHs). Material and Methods. Cost and performance data from a total of 23,180 cases were analyzed and compared to national reference data. Subgroup analysis was performed between the cases with and without anthroposophic medical complex (AMC) treatment. Results. Costs and length of stay in the cases without AMC displayed no relevant differences compared to the national reference data. In contrast the inlier cases with AMC caused an average of € 1,394 more costs. However costs per diem were not higher than those in the national reference data. Hence, the delivery of AMC was associated with a prolonged length of stay. 46.6% of the cases with AMC were high outliers. Only 10.6% of the inlier cases with AMC were discharged before reaching the mean length of stay of each DRG. Discussion. Treatment in an AH is not generally associated with an increased use of resources. However, the provision of AMC leads to a prolonged length of stay and cannot be adequately reimbursed by the current G-DRG system. Due to the heterogeneity of the patient population, an additional payment should be negotiated individually.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cost Analysis of Integrative Inpatient Treatment Based on DRG Data: The Example of Anthroposophic Medicine

Heinz¹,

Fiori

Heusser

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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show abstract

“…Nowadays such evaluations have regained the interest of stakeholders of the health care system such as health insurances or governmental authorities mainly to develop special diseases management pathways or to create specific diagnose related groups and additional payments [11, 12]. In particular scientific interest was focused on the sustainability of integrative treatment outcomes after in-patient treatment.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Integrative In-Patient Treatment on Patients’ Quality of Life: A Meta-Analysis

Ostermann

Langhorst²,

Beer³

2013

Evidence-Based Complementary and Alternative Medicine

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Background. In the last decades, several hospitals have adopted this concept of integrative medicine for the treatment of chronic and acute states of illnesses in in-patient treatment. The aim of this paper was to summarize the current evidence for a possible effectiveness of integrative on-patient treatment in patients' quality of life by means of a meta-analysis. Material and Methods. The databases MEDLINE, EMBASE, AMED, PsycInfo, PsycLit CCMED, and CAMbase were screened to find articles. We also screened publisher databases to find relevant information. Articles were included if patients were treated in a hospital. To guarantee comparability SF-36 was the predefined outcome measure for patients' quality of life. Data of pre/posteffects on the mental and physical scores of the SF-36 were extracted and effect sizes were calculated and entered into a random effect meta-analysis. Results. Eight articles published between 2003 and 2010 were included in the final meta-analysis. Random effect meta-analysis of the eight studies revealed an overall effect size of 0.37 (95% CI: [0.28; 0.45]) in the physical score and 0.38 (95% CI: [0.30; 0.45]) in the mental score of the SF-36. I 2 statistics indicate a high heterogeneity in the effects in both the physical and mental scores of the SF-36 (I 2 = 91.8%, P < 0.001, resp.; I 2 = 86.7%, P < 0.001). Discussion. This meta-analysis might help to rediscover the importance of integrative in-patient treatment for patients, physicians, and stakeholders.

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“…On the contrary, there is a growing body of evidence to suggest that the opposite might often be the case. [12][13][14][15][16][17][18] In conclusion, IM promises a better, more humane form of health care. Yet, the concepts of IM are based on false dichotomies.…”

mentioning

confidence: 97%

“…While it is comforting to see that IM has common ground with the rest of health care, it should be stressed that there is little evidence to imply that IM is currently achieving this goal. On the contrary, there is a growing body of evidence to suggest that the opposite might often be the case 12–18 …”

mentioning

confidence: 99%

Integrated medicine –quo vadis?

Ernst

2012

Focus on Alt & Comp Therapy

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A study of costs and length of stay of inpatient naturopathy – Evidence from Germany

Cited by 16 publications

References 11 publications

Cost Analysis of Integrative Inpatient Treatment Based on DRG Data: The Example of Anthroposophic Medicine

Cost Analysis of Integrative Inpatient Treatment Based on DRG Data: The Example of Anthroposophic Medicine

The Effects of Integrative In-Patient Treatment on Patients’ Quality of Life: A Meta-Analysis

Integrated medicine –quo vadis?

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