Changes in patient care through flexible and integrated treatment programs in German psychiatric hospitals: meta-analyses based on a series of controlled claims-based cohort studies

Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in...

Full description

Saved in:

Bibliographic Details
Published in:	BMC psychiatry Vol. 24; no. 1; pp. 74 - 17
Main Authors:	Neumann, Anne, Schmitt, Jochen, Seifert, Martin, Kliemt, Roman, March, Stefanie, Häckl, Dennis, Swart, Enno, Pfennig, Andrea, Baum, Fabian
Format:	Journal Article
Language:	English
Published:	London BioMed Central 26.01.2024 BioMed Central Ltd Springer Nature B.V BMC
Subjects:	Adolescent Adult Ambulatory Care Budgets Care and treatment Child Child & adolescent psychiatry Claims data Cohort analysis Cohort Studies Diagnosis FIT hospital Germany Global treatment budget Health insurance Hospitalization Hospitals Hospitals, Psychiatric Humans Inpatient and outpatient treatment Integrated delivery systems Medicine Medicine & Public Health Mental disorders Mental Disorders - therapy Mental health care Mental illness Patients Psychiatric services Psychiatry Psychotherapy Statistical analysis Treatment continuity Germany Mental health care FIT hospital Claims data Global treatment budget Inpatient and outpatient treatment Treatment continuity
ISSN:	1471-244X, 1471-244X
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Abstract	Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. Methods We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient’s first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. Results The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Conclusions Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. Trial registration This study was registered in the database “Health Services Research Germany” (trial number: VVfD_EVA64_15_003713).
AbstractList	BackgroundGlobal treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals.MethodsWe conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient’s first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models.ResultsThe 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals.ConclusionsGlobal treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions.Trial registrationThis study was registered in the database “Health Services Research Germany” (trial number: VVfD_EVA64_15_003713). Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals.BACKGROUNDGlobal treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals.We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient's first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models.METHODSWe conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient's first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models.The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals.RESULTSThe 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals.Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions.CONCLUSIONSGlobal treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions.This study was registered in the database "Health Services Research Germany" (trial number: VVfD_EVA64_15_003713).TRIAL REGISTRATIONThis study was registered in the database "Health Services Research Germany" (trial number: VVfD_EVA64_15_003713). Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. Methods We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient’s first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. Results The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Conclusions Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. Trial registration This study was registered in the database “Health Services Research Germany” (trial number: VVfD_EVA64_15_003713). Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. Methods We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient's first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. Results The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Conclusions Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. Trial registration This study was registered in the database "Health Services Research Germany" (trial number: VVfD_EVA64_15_003713). Keywords: Claims data, Mental health care, Global treatment budget, Inpatient and outpatient treatment, Treatment continuity, FIT hospital Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient's first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. Abstract Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. Methods We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient’s first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. Results The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Conclusions Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. Trial registration This study was registered in the database “Health Services Research Germany” (trial number: VVfD_EVA64_15_003713). Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and integrated treatment (FIT) have been introduced in some German psychiatric hospitals since 2013. We investigated pooled changes in inpatient, day-care, outpatient treatment, and continuity of care for patients with mental disorders in 12 FIT-hospitals. We conducted a series of 12 controlled cohort studies regarding FIT hospitals using anonymized patient claims data from more than 70 German statutory health insurance funds. Each study compared one FIT-hospital to matched patients from equivalent non-FIT-hospitals (routine care). We included only those patients without treatment in the respective hospital within two years prior to first hospital treatment (either FIT or routine care). We contrasted results between the year prior to with the first and second year after patient's first treatment (treatment continuity: only group comparison) using multivariate multi-level models. To approximate the difference-in-difference effect in the meta-analysis, we used the interaction terms group (FIT hospital vs. routine care) x time (year before vs. first or second patient year after study inclusion) in the Poisson models. The 12 studies included 36,069 patients with 2,358 patients from a Department of child and adolescent psychiatry. The pooled effect revealed a 5.1 days lower increase in inpatient treatment in FIT-hospitals during the first patient year compared to routine care. Results were statistically significant for adult care FIT-hospitals but not for child and adolescent FIT-hospitals. Utilization of day-care treatment increased more in most FIT-hospitals during the first year, while outpatient contacts increased in some and decreased in others. The odds of treatment continuity increased by 1.4 in FIT-hospitals compared to non-FIT-hospitals. Global treatment budgets lead to the intended changes in mental health care in the majority of FIT-hospitals compared to routine care in this large real-world evidence study from Germany. For child and adolescent psychiatry, more evidence is needed to draw firm conclusions. This study was registered in the database "Health Services Research Germany" (trial number: VVfD_EVA64_15_003713).
ArticleNumber	74
Audience	Academic
Author	Seifert, Martin March, Stefanie Baum, Fabian Schmitt, Jochen Swart, Enno Kliemt, Roman Neumann, Anne Häckl, Dennis Pfennig, Andrea
Author_xml	– sequence: 1 givenname: Anne surname: Neumann fullname: Neumann, Anne email: Anne.Neumann@uniklinikum-dresden.de organization: Center of Evidence-Based Health Care (ZEGV), Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden – sequence: 2 givenname: Jochen surname: Schmitt fullname: Schmitt, Jochen organization: Center of Evidence-Based Health Care (ZEGV), Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden – sequence: 3 givenname: Martin surname: Seifert fullname: Seifert, Martin organization: Center of Evidence-Based Health Care (ZEGV), Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden – sequence: 4 givenname: Roman surname: Kliemt fullname: Kliemt, Roman organization: WIG2 Scientific Institute for Health Economics and Health System Research Leipzig – sequence: 5 givenname: Stefanie surname: March fullname: March, Stefanie organization: Institute of Social Medicine and Health Services Research, Medical Faculty, Otto-Von-Guericke-University, Department of Social Work, Health and Media, Hochschule Magdeburg-Stendal – sequence: 6 givenname: Dennis surname: Häckl fullname: Häckl, Dennis organization: WIG2 Scientific Institute for Health Economics and Health System Research Leipzig – sequence: 7 givenname: Enno surname: Swart fullname: Swart, Enno organization: Institute of Social Medicine and Health Services Research, Medical Faculty, Otto-Von-Guericke-University – sequence: 8 givenname: Andrea surname: Pfennig fullname: Pfennig, Andrea organization: Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden – sequence: 9 givenname: Fabian surname: Baum fullname: Baum, Fabian organization: Center of Evidence-Based Health Care (ZEGV), Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/38279112$$D View this record in MEDLINE/PubMed
BookMark	eNp9ks9u1DAQxiNURP_AC3BAlrhwSbEdJ3G4VSsolSpxAYmbNbEnu14l8WJ7JfbBeD9md1sKFap8sDX-fd8k4--8OJnDjEXxWvBLIXTzPgmptS65VCWva85L_qw4E6oVpVTq-8lf59PiPKU156LVtXhRnFZatp0Q8qz4tVjBvMTE_Mw2kD3OmVmIyPIqhu1yxYYRf_p-RAazIyjjMkJGx3JEyNMe38RAtelgcY1xAnJKO7vykKO3bBXSxmcY0wc2YYYSZhh3iTr2kMgnzAxYwuipEgZmw5xjGEe6sSP4KZVHzIZViJmlvHVEviyeD-SIr-72i-Lbp49fF5_L2y_XN4ur29LWtcxlV3FUrqr6uqk475VSfS157yxwMUCnuRsESNC1cm1DEiuapm2gqzli1_Suuihujr4uwNpsop8g7kwAbw6FEJcGYvZ2RNOKqm04ByddpUQ1kLpWKLVTtmsbJcnr3dGL5vVjiymbySeL4wgzhm0yshNdqzjXDaFvH6HrsI00tz0l67rTgvMHagnU389DyBHs3tRctVqSm1QdUZf_oWg5nDxNGwdP9X8Eb-6ab_sJ3Z-_vs8MAfoI2BhSijgYS--b_f7lwI9GcLOPpznG01A8zSGeZv_J8pH03v1JUXUUJYIpq_FhGk-ofgMa8_fU
CitedBy_id	crossref_primary_10_1080_09638288_2024_2447376 crossref_primary_10_1055_a_2266_6881 crossref_primary_10_1007_s00115_025_01896_6 crossref_primary_10_1080_09540261_2025_2479601 crossref_primary_10_1007_s11553_025_01249_w
Cites_doi	10.1007/978-3-662-60487-8_14 10.1055/s-0042-112299 10.1055/s-2004-828649 10.1176/appi.ps.51.11.1410 10.1055/s-2008-1067432 10.3389/fpsyt.2020.00131 10.1055/s-0034-1396815 10.1055/a-1274-3792 10.1186/s12888-018-1721-z 10.1186/s12913-021-07226-1 10.1055/s-0033-1343192 10.1055/a-1274-3731 10.1177/1740774512453218 10.5334/ijic.5940 10.3389/fpsyt.2018.00785 10.1186/s12888-023-04545-x 10.1007/s10654-019-00500-x 10.1038/s41398-022-02131-5 10.1055/s-0030-1248438 10.1055/s-0042-108647 10.3389/fpsyt.2021.659773 10.1002/gps.5165 10.1007/s00406-006-0696-9 10.1186/s12888-017-1441-9 10.3389/fpsyt.2020.00610 10.1055/s-0029-1223418 10.1055/s-0042-116436 10.1055/s-2004-834736 10.1016/S0140-6736(17)31280-1 10.1055/s-0033-1343186 10.18637/jss.v036.i03 10.1186/s12888-015-0441-x 10.4088/JCP.09m05113yel 10.1186/s12888-018-1861-1 10.3389/fpsyt.2020.00426 10.1192/bjp.185.4.283 10.1055/a-2136-5107 10.1055/a-0942-2163 10.1186/1471-244X-14-163
ContentType	Journal Article
Copyright	The Author(s) 2024 2024. The Author(s). COPYRIGHT 2024 BioMed Central Ltd. 2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright_xml	– notice: The Author(s) 2024 – notice: 2024. The Author(s). – notice: COPYRIGHT 2024 BioMed Central Ltd. – notice: 2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
DBID	C6C AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7TK 7X7 7XB 88E 88G 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH GNUQQ K9. M0S M1P M2M PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PSYQQ Q9U 7X8 DOA
DOI	10.1186/s12888-024-05500-0
DatabaseName	Springer Nature Open Access Journals CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Neurosciences Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Psychology Database (Alumni) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central ProQuest One Community College ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Medical Database Psychology Database ProQuest Central Premium ProQuest One Academic ProQuest Publicly Available Content ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest One Psychology ProQuest Central Basic MEDLINE - Academic Open Access: DOAJ - Directory of Open Access Journals
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database ProQuest One Psychology ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Psychology Journals (Alumni) Neurosciences Abstracts ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest Medical Library ProQuest Psychology Journals ProQuest One Academic UKI Edition ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic
DatabaseTitleList	Publicly Available Content Database MEDLINE - Academic MEDLINE
Database_xml	– sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Medicine
EISSN	1471-244X
EndPage	17
ExternalDocumentID	oai_doaj_org_article_7137600ad2d3413fbd354e28d4c97642 A782197249 38279112 10_1186_s12888_024_05500_0
Genre	Research Support, Non-U.S. Gov't Meta-Analysis Journal Article
GeographicLocations	Germany
GeographicLocations_xml	– name: Germany
GrantInformation_xml	– fundername: Technische Universität Dresden (1019) – fundername: More than 70 German statutory health insurance funds
GroupedDBID	--- 0R~ 23N 2WC 53G 5VS 6J9 7X7 88E 8FI 8FJ AAFWJ AAJSJ AASML ABDBF ABIVO ABUWG ACGFO ACGFS ACIHN ACPRK ACUHS ADBBV ADRAZ ADUKV AEAQA AENEX AFKRA AFPKN AHBYD AHMBA AHYZX ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AOIJS AZQEC BAPOH BAWUL BCNDV BENPR BFQNJ BMC BPHCQ BVXVI C6C CCPQU CS3 DIK DWQXO E3Z EAD EAP EAS EBD EBLON EBS EMB EMK EMOBN ESX F5P FYUFA GNUQQ GROUPED_DOAJ GX1 HMCUK HYE IAO IHR INH INR IPY ITC KQ8 M1P M2M M48 M~E O5R O5S OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PJZUB PPXIY PQQKQ PROAC PSQYO PSYQQ PUEGO RBZ RNS ROL RPM RSV SMD SOJ SV3 TR2 TUS UKHRP W2D WOQ WOW XSB AAYXX AFFHD CITATION ALIPV CGR CUY CVF ECM EIF NPM 3V. 7TK 7XB 8FK K9. PKEHL PQEST PQUKI Q9U 7X8
ID	FETCH-LOGICAL-c552t-930e4d33b56300b444b520bdca01fa980df1a2a854d76c55c16676a950ee96bd3
IEDL.DBID	DOA
ISICitedReferencesCount	6
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001149899600004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1471-244X
IngestDate	Fri Oct 03 12:38:59 EDT 2025 Sun Nov 09 13:24:39 EST 2025 Thu Oct 09 21:51:47 EDT 2025 Tue Nov 11 11:12:46 EST 2025 Tue Nov 04 18:31:40 EST 2025 Mon Jul 21 05:35:11 EDT 2025 Sat Nov 29 01:38:59 EST 2025 Tue Nov 18 21:48:02 EST 2025 Sat Sep 06 07:21:59 EDT 2025
IsDoiOpenAccess	true
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Issue	1
Keywords	Mental health care FIT hospital Claims data Global treatment budget Inpatient and outpatient treatment Treatment continuity
Language	English
License	2024. The Author(s).
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c552t-930e4d33b56300b444b520bdca01fa980df1a2a854d76c55c16676a950ee96bd3
Notes	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Feature-1 content type line 23
OpenAccessLink	https://doaj.org/article/7137600ad2d3413fbd354e28d4c97642
PMID	38279112
PQID	2925598100
PQPubID	44775
PageCount	17
ParticipantIDs	doaj_primary_oai_doaj_org_article_7137600ad2d3413fbd354e28d4c97642 proquest_miscellaneous_2919740086 proquest_journals_2925598100 gale_infotracmisc_A782197249 gale_infotracacademiconefile_A782197249 pubmed_primary_38279112 crossref_citationtrail_10_1186_s12888_024_05500_0 crossref_primary_10_1186_s12888_024_05500_0 springer_journals_10_1186_s12888_024_05500_0
PublicationCentury	2000
PublicationDate	2024-01-26
PublicationDateYYYYMMDD	2024-01-26
PublicationDate_xml	– month: 01 year: 2024 text: 2024-01-26 day: 26
PublicationDecade	2020
PublicationPlace	London
PublicationPlace_xml	– name: London – name: England
PublicationTitle	BMC psychiatry
PublicationTitleAbbrev	BMC Psychiatry
PublicationTitleAlternate	BMC Psychiatry
PublicationYear	2024
Publisher	BioMed Central BioMed Central Ltd Springer Nature B.V BMC
Publisher_xml	– name: BioMed Central – name: BioMed Central Ltd – name: Springer Nature B.V – name: BMC
References	M Assheuer (5500_CR8) 2021; 48 J Schwarz (5500_CR24) 2020; 70 5500_CR26 5500_CR5 5500_CR4 E Swart (5500_CR36) 2021 A Deister (5500_CR17) 2010; 37 5500_CR9 A Neumann (5500_CR29) 2021; 48 E Swart (5500_CR41) 2016; 78 R Busse (5500_CR3) 2017; 390 S Indefrey (5500_CR32) 2020; 11 J Schwarz (5500_CR23) 2020; 11 W Viechtbauer (5500_CR44) 2010; 36 HJ Salize (5500_CR2) 2007; 257 C Roick (5500_CR16) 2008; 35 5500_CR22 AS Mueller-Stierlin (5500_CR27) 2017; 17 AS Stierlin (5500_CR12) 2014; 14 HH Konig (5500_CR14) 2010; 37 5500_CR19 5500_CR18 B Schroder (5500_CR21) 2017; 44 M Blumel (5500_CR10) 2020; 22 SJ Ziguras (5500_CR47) 2000; 51 W de Cruppé (5500_CR51) 2023; 23 B Soltmann (5500_CR53) 2021; 12 E Swart (5500_CR40) 2015; 77 Y Ignatyev (5500_CR49) 2019; 34 C Wheeler (5500_CR25) 2015; 15 G Thornicroft (5500_CR1) 2004; 185 5500_CR46 A Neumann (5500_CR52) 2021; 21 R Jacobs (5500_CR20) 2018; 24 W Hoffmann (5500_CR39) 2019; 34 C Roick (5500_CR15) 2005; 32 HH Konig (5500_CR31) 2013; 40 F Afraz (5500_CR7) 2021; 21 PH Falkai (5500_CR43) 2013 P Schmid (5500_CR33) 2013; 40 TA Trikalinos (5500_CR45) 2012; 9 5500_CR37 F Baum (5500_CR30) 2022; 12 5500_CR35 A Deister (5500_CR11) 2004; 30 M Lambert (5500_CR48) 2010; 71 T Petzold (5500_CR38) 2019; 81 F Baum (5500_CR28) 2020; 11 R Kliemt (5500_CR6) 2020 M Schmedders (5500_CR50) 2023; 42 5500_CR34 H Quan (5500_CR42) 2005; 43 M Lambert (5500_CR13) 2014; 41
References_xml	– start-page: 263 volume-title: Krankenhaus-Report 2020 - finanzierung und Vergütung am Scheideweg year: 2020 ident: 5500_CR6 doi: 10.1007/978-3-662-60487-8_14 – ident: 5500_CR5 – ident: 5500_CR9 – start-page: 719 volume-title: Handbook Integrated Care year: 2021 ident: 5500_CR36 – volume: 24 start-page: 412 issue: 6 year: 2018 ident: 5500_CR20 publication-title: Adv – ident: 5500_CR18 – volume: 44 start-page: 446 issue: 8 year: 2017 ident: 5500_CR21 publication-title: Psychiatr Prax doi: 10.1055/s-0042-112299 – volume: 30 start-page: 285 issue: 5 year: 2004 ident: 5500_CR11 publication-title: Psychoneuro doi: 10.1055/s-2004-828649 – volume: 51 start-page: 1410 issue: 11 year: 2000 ident: 5500_CR47 publication-title: Psychiatr Serv doi: 10.1176/appi.ps.51.11.1410 – volume: 35 start-page: 279 year: 2008 ident: 5500_CR16 publication-title: Psychiatr Prax doi: 10.1055/s-2008-1067432 – volume: 11 year: 2020 ident: 5500_CR28 publication-title: Front Psychiatry doi: 10.3389/fpsyt.2020.00131 – volume: 77 start-page: 120 year: 2015 ident: 5500_CR40 publication-title: Gesundheitswesen doi: 10.1055/s-0034-1396815 – volume: 48 start-page: 143 issue: 3 year: 2021 ident: 5500_CR8 publication-title: Psychiatr Prax doi: 10.1055/a-1274-3792 – ident: 5500_CR37 doi: 10.1186/s12888-018-1721-z – ident: 5500_CR4 – ident: 5500_CR34 – volume: 21 start-page: 1262 issue: 1 year: 2021 ident: 5500_CR52 publication-title: BMC Health Serv Res doi: 10.1186/s12913-021-07226-1 – volume: 40 start-page: 414 issue: 8 year: 2013 ident: 5500_CR33 publication-title: Psychiatr Prax doi: 10.1055/s-0033-1343192 – volume: 48 start-page: 127 issue: 3 year: 2021 ident: 5500_CR29 publication-title: Psychiatr Prax doi: 10.1055/a-1274-3731 – volume: 9 start-page: 610 issue: 5 year: 2012 ident: 5500_CR45 publication-title: Clin Trials doi: 10.1177/1740774512453218 – volume: 21 start-page: 1 issue: 4 year: 2021 ident: 5500_CR7 publication-title: Int J Integr care doi: 10.5334/ijic.5940 – ident: 5500_CR26 doi: 10.3389/fpsyt.2018.00785 – volume: 23 start-page: 52 issue: 1 year: 2023 ident: 5500_CR51 publication-title: BMC Psychiatry doi: 10.1186/s12888-023-04545-x – volume: 34 start-page: 301 issue: 3 year: 2019 ident: 5500_CR39 publication-title: Eur J Epidemiol doi: 10.1007/s10654-019-00500-x – volume: 12 start-page: 370 issue: 1 year: 2022 ident: 5500_CR30 publication-title: Transl Psychiatry doi: 10.1038/s41398-022-02131-5 – start-page: 2013 volume-title: S3-Leitlinie Psychosoziale Therapien bei schweren psychischen Erkrankungen [S3-Guideline Psycho-Social Therapies for Severe Mental Illnesses] year: 2013 ident: 5500_CR43 – ident: 5500_CR35 – volume: 37 start-page: 335 issue: 7 year: 2010 ident: 5500_CR17 publication-title: Psychiatr Prax doi: 10.1055/s-0030-1248438 – volume: 78 start-page: e145 issue: S 01 year: 2016 ident: 5500_CR41 publication-title: Gesundheitswesen doi: 10.1055/s-0042-108647 – volume: 12 year: 2021 ident: 5500_CR53 publication-title: Front Psychiatry doi: 10.3389/fpsyt.2021.659773 – volume: 34 start-page: 1557 issue: 11 year: 2019 ident: 5500_CR49 publication-title: Int J Geriatr Psychiatry doi: 10.1002/gps.5165 – volume: 257 start-page: 92 issue: 2 year: 2007 ident: 5500_CR2 publication-title: Eur Arch Psychiatry Clin Neurosci doi: 10.1007/s00406-006-0696-9 – volume: 22 start-page: 1 issue: 6 year: 2020 ident: 5500_CR10 publication-title: Health Syst Transit – volume: 17 start-page: 283 issue: 1 year: 2017 ident: 5500_CR27 publication-title: BMC Psychiatry doi: 10.1186/s12888-017-1441-9 – volume: 11 year: 2020 ident: 5500_CR32 publication-title: Front Psychiatry doi: 10.3389/fpsyt.2020.00610 – volume: 37 start-page: 34 issue: 1 year: 2010 ident: 5500_CR14 publication-title: Psychiatr Prax doi: 10.1055/s-0029-1223418 – volume: 81 start-page: 63 issue: 1 year: 2019 ident: 5500_CR38 publication-title: Gesundheitswesen doi: 10.1055/s-0042-116436 – ident: 5500_CR22 – volume: 32 start-page: 177 issue: 4 year: 2005 ident: 5500_CR15 publication-title: Psychiatr Prax doi: 10.1055/s-2004-834736 – volume: 390 start-page: 882 issue: 10097 year: 2017 ident: 5500_CR3 publication-title: Lancet doi: 10.1016/S0140-6736(17)31280-1 – volume: 40 start-page: 430 issue: 8 year: 2013 ident: 5500_CR31 publication-title: Psychiatr Prax doi: 10.1055/s-0033-1343186 – volume: 43 start-page: 1130 issue: 11 year: 2005 ident: 5500_CR42 publication-title: MedCare – volume: 36 start-page: 1 issue: 3 year: 2010 ident: 5500_CR44 publication-title: J Stat Softw doi: 10.18637/jss.v036.i03 – volume: 15 start-page: 74 year: 2015 ident: 5500_CR25 publication-title: BMC Psychiatry doi: 10.1186/s12888-015-0441-x – volume: 71 start-page: 1313 issue: 10 year: 2010 ident: 5500_CR48 publication-title: J Clin Psychiatry doi: 10.4088/JCP.09m05113yel – volume: 41 start-page: 257 issue: 5 year: 2014 ident: 5500_CR13 publication-title: Psychiatr Prax – ident: 5500_CR19 doi: 10.1186/s12888-018-1861-1 – volume: 11 year: 2020 ident: 5500_CR23 publication-title: Front Psychiatry doi: 10.3389/fpsyt.2020.00426 – volume: 185 start-page: 283 year: 2004 ident: 5500_CR1 publication-title: Br J Psychiatry doi: 10.1192/bjp.185.4.283 – ident: 5500_CR46 – volume: 42 start-page: 782 year: 2023 ident: 5500_CR50 publication-title: Nervenheilkunde doi: 10.1055/a-2136-5107 – volume: 70 start-page: 65 issue: 2 year: 2020 ident: 5500_CR24 publication-title: Psychother Psychosom Med Psychol doi: 10.1055/a-0942-2163 – volume: 14 year: 2014 ident: 5500_CR12 publication-title: BMC Psychiatry doi: 10.1186/1471-244X-14-163
SSID	ssj0017851
Score	2.4090576
SecondaryResourceType	review_article
Snippet	Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with... Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with flexible and... Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with... BackgroundGlobal treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together with... Abstract Background Global treatment budgets, i.e. predefined budgets for patients treated in hospital independent of the setting within the hospital, together...
SourceID	doaj proquest gale pubmed crossref springer
SourceType	Open Website Aggregation Database Index Database Enrichment Source Publisher
StartPage	74
SubjectTerms	Adolescent Adult Ambulatory Care Budgets Care and treatment Child Child & adolescent psychiatry Claims data Cohort analysis Cohort Studies Diagnosis FIT hospital Germany Global treatment budget Health insurance Hospitalization Hospitals Hospitals, Psychiatric Humans Inpatient and outpatient treatment Integrated delivery systems Medicine Medicine & Public Health Mental disorders Mental Disorders - therapy Mental health care Mental illness Patients Psychiatric services Psychiatry Psychotherapy Statistical analysis Treatment continuity
SummonAdditionalLinks	– databaseName: AUTh Library subscriptions: ProQuest Central dbid: BENPR link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELZgixAX3tBAQUZC4gBRHcd5cUEtauEAqwqB1JvlZ1lpm7SbLf-M_8eM46QsiF64xo_YyTePxDPfEPLSghQoDZ6bB82XCl8qkDlmU5sVHgCijPOBZ_ZTNZ_Xx8fNUfzh1sewylEnBkVtO4P_yHd5E7jEM8benZ2nWDUKT1djCY3rZAuZysSMbO0fzI--TOcIWHp-TJWpy90etDEgA-xSysA1ZynbMEeBtf9v3fybcfrjtDQYocM7_7v8u-R2dD_p3oCXe-Saa--Tm5_jAfsD8nPINujpoqWRcpVicBiN9XyoRwJNvXRUtZZOXBOWTgHrNEZ8hSk-oN6HmcaQ6oWh32Ohkv4tPXVrlarAigJ3RHtqaddSRVEs4ErnaYykX0KLWarFaZ8O3bCu72pN-yEK8iH5dnjw9f3HNFZ2SE1R8HXa5MwJm-ca2cmYFkLogjNtjWKZV03NrM8UV3UhbFXCEJNhKK5qCuZcU2qbPyKztmvdNqGYSisqoWtdaczQrj33udPCCFU0eaMSko0vWJpIe47VN5YyfP7UpRxAIQEUMoBCsoS8nsacDaQfV_beR9xMPZGwO1zoVicyyr-sMow-Yspyi36Dhz0UwvHaCgMOoeAJeYWok6hWYHlGxewI2CQSdMk98OSwQpxoErKz0RPUgdlsHgEoozrq5SX6EvJiasaRGGLXuu4C-8AEAj9xE_J4wPu0pbzmFVhFWOWbUQAuJ__3k3ly9Vqekls8iGKW8nKHzNarC_eM3DA_1ot-9TyK8i-W6FC_ priority: 102 providerName: ProQuest – databaseName: Springer LINK Contemporary dbid: RSV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZQQYhLeUOgICMhcYAIx3ESh1tBFA5QIV7qzfITVtom1Sbln_H_mHGcwPKS4BqPvfZ6XtbMfEPIfQdSoA14bgE0Xy5CrUHmmMtdUQVgEG19iDizr5rDQ3l01L5JRWHDnO0-hySjpo5iLevHA2hSuFWwKTkDt5rl8FA_C-ZOoji-ffdxiR1gu_m5POa387ZMUETq_1Uf_2CQfoqQRsNzcPH_tnyJ7CZHk-5PnHGZnPHdFXL-dQqlXyVfp7qCga46msBVKaaB0dS5hwaEyjRrT3Xn6IIq4eiSmk5Tbldc4gVqeFhpTp5eWfo5tSQZntBjP-pcR_wT-EW0nI72HdUUBQC-9IGmnPk1jNi1Xh0P-USGHXw3Ix2mfMdr5MPB8_fPXuaph0Nuq4qPeVsyL1xZGsQhY0YIYSrOjLOaFUG3krlQaK5lJVxTwxRbYNKtbivmfVsbV14nO13f-ZuEYtGsaISRpjFYiy0DD6U3wgpdtWWrM1LM16psAjjHPhtrFR86slbTfSi4DxXvQ7GMPFzmnEzwHn-lforcslAiNHf80G8-qSTpCl79GOzUjjv0EAKcoRKeSycsuH6CZ-QB8ppCBQLbszrVQcAhEYpL7YPPhr3gRJuRvS1KEHy7PTxzq0qKZ1C8jZD7BYPN3luGcSYm03W-P0UaWEDgYzYjNyYuX45USt6A_YNdPppZ-vvif_5nbv0b-W1ygUepKHJe75GdcXPq75Bz9su4GjZ3ozh_A0d4RYM priority: 102 providerName: Springer Nature
Title	Changes in patient care through flexible and integrated treatment programs in German psychiatric hospitals: meta-analyses based on a series of controlled claims-based cohort studies
URI	https://link.springer.com/article/10.1186/s12888-024-05500-0 https://www.ncbi.nlm.nih.gov/pubmed/38279112 https://www.proquest.com/docview/2925598100 https://www.proquest.com/docview/2919740086 https://doaj.org/article/7137600ad2d3413fbd354e28d4c97642
Volume	24
WOSCitedRecordID	wos001149899600004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVADU databaseName: BioMed Central customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: RBZ dateStart: 20010101 isFulltext: true titleUrlDefault: https://www.biomedcentral.com/search/ providerName: BioMedCentral – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: DOA dateStart: 20010101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: M~E dateStart: 20010101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: 7X7 dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: BENPR dateStart: 20090101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Psychology Database customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: M2M dateStart: 20090101 isFulltext: true titleUrlDefault: https://www.proquest.com/psychology providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: PIMPY dateStart: 20090101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVAVX databaseName: Springer Journals - Owned customDbUrl: eissn: 1471-244X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017851 issn: 1471-244X databaseCode: RSV dateStart: 20011201 isFulltext: true titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22 providerName: Springer Nature
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1bi9QwFA66ivgi3h1dhwiCD1o2TdObb7uyq4IzDOuF8SnkigOzHZl2_Wf-P89J07qjqC--FJpb05xbQs75DiFPLUiB0rBz86D5EuELBTLHbGLT3AODKON8wJl9V87n1XJZLy6k-kKfsB4euF-4AzhE4d2RstyiwvXaZrlwvLLCgCUVQfvCrmc4TMX7A0w5P4TIVMVBC1oYOALsUcJgS84StmOGAlr_7zr5glH65ZY0GJ-Tm-RG3DXSw362t8gl19wm12bxXvwO-d4HCbR01dCIlErRp4vGNDzUI-6lXjuqGktHiAhLRz9zGh21whCvUV3DSIMn9MrQLzG_SPuSnrlOJSqAmcAX0QxaummoosjNULLxNDrAr6HGrNXqrE36ZpiOd9vRtndevEs-nhx_ePUmiQkZEpPnvEvqjDlhs0wjqBjTQgidc6atUSz1qq6Y9aniqsqFLQvoYlL0oFV1zpyrC6DcPbLXbBr3gFCMgBWl0JUuNQZWV577zGlhhMrrrFYTkg70kSailWPSjLUMp5aqkD1NJdBUBppKNiHPxz5fe6yOv7Y-QrKPLRFnOxQA98nIffJf3Dchz5BpJGoDmJ5RMagBfhJxteQhbMAwsZuoJ2R_pyVIsdmtHthORi3SSl4H_PyUwWSfjNXYEz3jGrc5xzYwgMCT6YTc79l1_KWs4iUYM5jli4F_fw7-55V5-D9W5hG5zoO8pQkv9sletz13j8lV861btdspuVwuy_CspuTK0fF8cToNEgzPGZ9B2eLtbPEZ3k7ff_oBNXxHag
linkProvider	Directory of Open Access Journals
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Jb9QwFLZKQZQL-xIoYCQQB4jqOM6GhFBZSqvOjDgUqTfj2E4ZaZqUyRTEn-LG_-M9x0kZEL31wDVeJvZ8b3H83vcIeWxAClQJnlsFmi8UVapA5pgJTZRUABClbeV4ZkfZZJLv7xcfVsiPPhcGwyp7negUtWk0fiPf4IXjEo8Ye3X0JcSqUXi72pfQ6GCxa79_gyNb-3LnLfy_Tzjferf3Zjv0VQVCnSR8ERYxs8LEcYnMWKwUQpQJZ6XRikWVKnJmqkhxlSfCZCkM0RGGgaoiYdYWaWlimPccOS_gJISlIsZ8PNxaYKH7PjEnTzda0P2AQ7CCIYODAAvZkvFzNQL-tgS_mcI_7madydu68r9t1lVy2TvXdLOThmtkxdbXycWxDx-4QX52uRQtndbUE8pSDH2jvloRrZAetJxZqmpDByYNQ4dwfOrj2dwU79GqwUx9wPhU08--DEv7gh7ahQqV43yBX0RvwdCmpoqi0MOTpqI-T2AGLXqmpodt2HXDqsXzBW27GM-b5OOZbNotslo3tb1DKCYKi0yUeZmVmH-eV7yKbSm0UEkRFyogUQ8oqT2pO9YWmUl3uMtT2YFQAgilA6FkAXk2jDnqKE1O7f0acTr0RDpy96CZH0iv3WQWYWwVU4Yb9IoqWEMiLM-N0ODuCh6Qp4hyiUoTXk8rn_sBi0T6MbkJfirWvxNFQNaXeoKy08vNPeClV7atPEF7QB4NzTgSAwhr2xxjH5hA4AE-ILc7-RqWFOc8A5sPb_m8F7iTyf-9M3dPf5eHZG17bzySo53J7j1yiTs1EIU8XSeri_mxvU8u6K-LaTt_4JQIJZ_OWhB_AYlyqzM
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Zb9QwELZQQRUv3JRAASMh8QBRHce5eCvHAqKsKnGob5ZPWGmbrTYp_4z_x4zjhC6XhHiNx15757Q88w0hDy1ogdIQuXmwfKnwpQKdYza1WeFBQJRxPuDMHlTzeX101ByeqeIP2e7jk-RQ04AoTW2_d2L9oOJ1udeBVQUOg39JGYTYLIVL-3mBTYPwvv7-0_SOgK3nx1KZ387bcEcBtf9X23zGOf30Whqc0Ozy_2__CrkUA1C6P0jMVXLOtdfI9rv4xH6dfBvqDTq6aGkEXaWYHkZjRx_qEUJTLx1VraUT2oSlU8o6jTlfYYlXaPlhpTGpemHol9iqpHtKj12vUhVwUeAX0aNaumqpoqgY8GXlacylX8KIWarFcZcOZNjZd93TbsiDvEE-zl5-eP46jb0dUlMUvE-bnDlh81wjPhnTQghdcKatUSzzqqmZ9Zniqi6ErUqYYjJMxlVNwZxrSm3zm2SrXbXuFqFYTCsqoWtdaazRrj33udPCCFU0eaMSko0sliYCn2P_jaUMF6C6lAM_JPBDBn5IlpDH05yTAfbjr9TPUHImSoTsDh9W688yWgBZZZh_xJTlFiMHD2cohOO1FQZCQsET8gjlTqJhge0ZFesj4JAI0SX3IZbDHnGiScjuBiUYBLM5PEqujAapk7wJUPwZg80-mIZxJibZtW51ijSwgMBLbkJ2BomfjpTXvAK_CLt8Mor3j8X__M_c_jfy-2T78MVMHryZv71DLvKgIFnKy12y1a9P3V1ywXztF936XtDy77IMUUs
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Changes+in+patient+care+through+flexible+and+integrated+treatment+programs+in+German+psychiatric+hospitals%3A+meta-analyses+based+on+a+series+of+controlled+claims-based+cohort+studies&rft.jtitle=BMC+psychiatry&rft.au=Neumann%2C+Anne&rft.au=Schmitt%2C+Jochen&rft.au=Seifert%2C+Ma&rft.au=Kliemt%2C+Roman&rft.date=2024-01-26&rft.pub=BioMed+Central+Ltd&rft.issn=1471-244X&rft.eissn=1471-244X&rft.volume=24&rft.issue=1&rft_id=info:doi/10.1186%2Fs12888-024-05500-0&rft.externalDocID=A782197249
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1471-244X&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1471-244X&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1471-244X&client=summon