Send to

Choose Destination
Psychiatr Prax. 2010 Jan;37(1):34-42. doi: 10.1055/s-0029-1223418. Epub 2010 Jan 13.

[The regional psychiatry budget (RPB): a model for a new payment system of hospital based mental health care services].

[Article in German]

Author information

Universität Leipzig, Professur für Gesundheitsökonomie, Klinik und Poliklinik für Psychiatrie.



To analyze the impact of a capitated multi-sector-financing model for psychiatric care (RPB) on costs and effectiveness of care.


Patients with a diagnosis according to ICD-10 F10, F2 or F3 were interviewed in the model region (MR, n = 258) and a control region (CR, n = 244) financed according to the fee-for-service principle. At baseline, 1.5 years and 3.5 years follow-up patients were interviewed using measures of psychopathology (CGI-S, HoNOS, SCL-90R, PANSS, BRMAS / BRMES), functioning (GAF, SOFAS) and quality of life (WHOQOL-BREF, EQ-5D). Use of care was determined semi-annually.


There were no significant differences in the development of psychopathology and quality of life between MR and CR. In the MR, functioning of patients with schizophrenia and affective disorders improved significantly more strongly. The development of total mental health care costs was not different between MR and CR. However, the costs of office based mental health care increased slightly more strongly in the MR, indicating a small cost-shift from the RPB to extrabudgetary financed services.


The RPB showed slight advantages regarding the effectiveness of care and did not significantly change the total mental health care costs.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Georg Thieme Verlag Stuttgart, New York
Loading ...
Support Center