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Z Psychosom Med Psychother. 2013;59(3):254-72.

[Psychosomatic and psychotherapeutic outpatient care in Germany - Capacity profile based on data from the National Association of Statutory Health Insurance Physicians].

[Article in German]

Author information

  • 1Prof. Dr. med. Johannes Kruse, Klinik für Psychosomatik und Psychotherapie, Justus-Liebig-Universität Gießen, Friedrichstraße 33, 35392 Gießen, E-Mail: Johannes.Kruse@psycho.med.uni-giessen.de.

Abstract

OBJECTIVES:

At the centre of the study lay a representation of outpatient psychosomatic and psychotherapeutic care with a focus on different groups of medical and psychological therapists.

METHODS:

The routine data of the National Association of Statutory Health Insurance Physicians (KBV) from the year 2008 were analyzed based on a systematic literature review (Medline, ISI, to November 2010).

RESULTS:

Neurologists and psychiatrists see the most patients (n = 3,172 vs n = 1,347 cases per practice), but they rarely provide services according to the directives for psychotherapy (4,4 %). However, specialists for psychosomatic medicine and psychotherapy (65 %), physicians providing only psychotherapy (66 %) and psychological psychotherapists (73 %) provide care mainly according to the directives for psychotherapy and therefore see fewer patients (170-190 cases per practice).Medical psychotherapists work more often on a psychodynamic basis, while psychological psychotherapists perform more often behavioral therapy.

CONCLUSIONS:

The treatment of patients with mental and psychosomatic disorders is based on three columns of care, which differ in their supply profile and each make a specific contribution to the treatment.

PMID:
24085478
[PubMed - indexed for MEDLINE]
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