Kostensätze zur monetären Bewertung von Versorgungsleistungen bei psychischen Erkrankungen

Abstract

Assessing resource utilisation and costs for treating mental disorders in Germany is difficult. This pertains especially to the numerous non-medical services that are financed by a considerable number of payers. To standardise and simplify cost calculation, we created a database of unit costs for the most important services for mental disorders. We performed a literature and internet search to identify services provided to persons with mental disorders. Unit costs were calculated either by means of public statistics or data directly obtained from payers. If data could not be obtained that way, health care providers were interviewed to collect data relevant for cost estimation. Unit costs were calculated for medical and vocational rehabilitation, assisted living, sociopsychiatric services, counselling centres, daycare facilities, ambulant psychiatric nursing care, occupational therapy, sociotherapy, psychoeducation, caretaker, domestic help, creative therapies, physical therapy, and relaxation techniques. Calculating unit costs for non-medical services was essential, since these services constitute a central element in the treatment of persons with mental disorders. Nevertheless, the large amount of different services and payers complicated a comprehensive assessment of costs. Thus, uncertainty associated with the calculation of costs should be taken into account.

Multiperspective and Multimethod Evaluation of Flexible and Integrative Psychiatric Care Models in Germany: Study Protocol of a Prospective, Controlled Multicenter Observational Study (PsychCare)

“…The recorded types of utilized services are priced by using negotiated prices from SHI routine data and aggregated data for staff, material and infrastructure expenses from hospital information and empirical valuation rates according to Grupp et al ( 64 ) for complementary psychiatric services and Krauth et al ( 65 ) for inpatient somatic care, medical rehabilitation and SHI-accredited physicians. The individual data linkage ( Figure 1 ) furthermore enables resource utilization determined via the primary data collection to be validated by corresponding health care utilization determined from SHI claims data.…”

Standardisierte Kostenberechnungen im deutschen Gesundheitswesen: Bericht der Arbeitsgruppe „Standardkosten“ des Ausschusses „ökonomische Evaluation“ der dggö

“…Neben diesen Publikationen zum allgemeinen Costing finden sich auch noch Arbeiten zu bestimmten Indikationen (z. B. Kostensätze für psychische Erkrankungen [5]) oder für bestimmte Bevölkerungsteile (z. B. Fragebogen zum Ressourcenverbrauch älterer Menschen [6]), wobei dabei z. T. auf die genannten Standardkostensätze zurückgegriffen wurde.…”

Patient-Centered Placement Matching of Alcohol-Dependent Patients Based on a Standardized Intake Assessment: Primary Outcomes of an Exploratory Randomized Controlled Trial

“…The CSSRI-EU is a standardized, validated interview to evaluate health care utilization [25,26] and refers to a time period of the last 6 months. Direct costs (in-and outpatient services as well as formal and informal care) were estimated in a second step via monetary valuation with German unit costs [27,28]. Furthermore, medication cost was derived from the German official pharmaceutical index [29].…”

“…Furthermore, medication cost was derived from the German official pharmaceutical index [29]. Indirect costs due to absenteeism were estimated by the human capital approach monetarily valuing time absent from work using full-and part-time labor costs for manufacturing and service sectors [28,30]. Measures and procedures beyond the primary outcomes of the study are reported elsewhere [20].…”