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Verfasst von:Hochlehnert, Achim [VerfasserIn]   i
 Niehoff, Dorothea [VerfasserIn]   i
 Wild, Beate [VerfasserIn]   i
 Jünger, Jana [VerfasserIn]   i
 Herzog, Wolfgang [VerfasserIn]   i
 Löwe, Bernd [VerfasserIn]   i
Titel:Psychiatric comorbidity in cardiovascular inpatients
Titelzusatz:Costs, net gain, and length of hospitalization
Verf.angabe:Achim Hochlehnert, Dorothea Niehoff, Beate Wild, Jana Jünger, Wolfgang Herzog, Bernd Löwe
E-Jahr:2011
Jahr:[February 2011]
Umfang:5 S.
Fussnoten:Gesehen am 05.08.2022
Titel Quelle:Enthalten in: Journal of psychosomatic research
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1956
Jahr Quelle:2011
Band/Heft Quelle:70(2011), 2 vom: Feb., Seite 135-139
ISSN Quelle:1879-1360
Abstract:Objective - Although psychiatric comorbidity often goes undetected and untreated in cardiovascular patients, it is not clear whether the costs for a special treatment of psychiatric comorbidity are appropriately reflected in the reimbursement system. To investigate the economic impact of psychiatric comorbidity, we compared costs, returns, net gain, and duration of hospitalization in cardiovascular inpatients with and without psychiatric comorbidity. - Methods - For a period of 2 years, we analyzed costs, net gain, and other outcome variables according to the diagnosis-related group (DRG) system for cardiovascular inpatients of a German university department (n=940). Psychiatric disorders were diagnosed by the treating physicians based on clinical criteria and results from the Patient Health Questionnaire (PHQ). With respect to the outcome variables, we compared patients with and without a psychiatric disorder, controlling for sociodemographic characteristics. - Results - The average total costs of hospitalization (mean±S.E.) for cardiovascular patients without psychiatric comorbidity and for patients with psychiatric comorbidity differed significantly (€5142±210 vs. €7663±571; d=0.39). The increased costs for patients with psychiatric comorbidity were related to elevated returns, but the net gain for patients without psychiatric comorbidity was €277±119. In contrast, the treatment of internal medicine patients with psychiatric disorders resulted in a net loss of −€624±324 (overall group difference, d=−0.25). - Conclusion - Psychiatric comorbidity in cardiovascular inpatients leads to higher costs that are not reflected in the current reimbursement system in Germany. The inappropriate reimbursement of psychiatric comorbidity in cardiovascular inpatients may result in a serious undertreatment of these patients.
DOI:doi:10.1016/j.jpsychores.2010.09.010
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.jpsychores.2010.09.010
 Volltext: https://www.sciencedirect.com/science/article/pii/S0022399910003739
 DOI: https://doi.org/10.1016/j.jpsychores.2010.09.010
Datenträger:Online-Ressource
Sprache:eng
Bibliogr. Hinweis:Erscheint auch als : Druck-Ausgabe: Psychiatric comorbidity in cardiovascular inpatients. - 2011
Sach-SW:Diagnosis-related groups (DRG)
 Health care costs
 Inpatients
 Internal medicine
 Mental disorders
K10plus-PPN:1813317275
Verknüpfungen:→ Zeitschrift

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