{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:49:22Z","timestamp":1782341362035,"version":"3.54.5"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die klassische Aufteilung der klinischen Psychiatrie in Deutschland umfasst\n                        Allgemeinpsychiatrie, Gerontopsychiatrie und Suchtmedizin. Es ist bedeutsam\n                        zu wissen, wie sich in diesen Bereichen Faktoren wie Alter, Geschlecht,\n                        Verweildauer, Komorbidit\u00e4ten und Begleitmedikation entwickelt haben, um\n                        zuk\u00fcnftige Versorgungsbed\u00fcrfnisse zu verstehen. Das 2018 eingef\u00fchrte\n                        PEPP-Abrechnungssystem brachte strukturelle Ver\u00e4nderungen in der\n                        psychiatrischen Versorgung mit sich. Diese Studie konzentriert sich auf die\n                        L\u00e4ngsschnittbeobachtung in der Allgemeinpsychiatrie, leitet m\u00f6gliche\n                        Entwicklungen ab und untersucht unter anderem die Auswirkung des\n                        PEPP-Systems auf die Verweildauer und die Kodierung von Nebendiagnosen.<\/jats:p>\n                  <jats:p>Die Evangelische Stiftung Tannenhof betreibt ein Fachkrankenhaus f\u00fcr\n                        Psychiatrie, Psychotherapie, Psychosomatik und Neurologie mit einem\n                        Pflichtversorgungsgebiet von etwa 580\u2009000 Einwohnern. Daten aus dem\n                        Krankenhausinformationssystem wurden deskriptiv analysiert. Es wurden\n                        insgesamt 61\u2009385 station\u00e4re F\u00e4lle aus der Allgemeinpsychiatrie\n                        eingeschlossen, die den Diagnosegruppen F2, F3, F4 und F6 zugeordnet waren.\n                        Demografische Daten, Verweildauer und die Entwicklung von psychiatrischen\n                        und somatischen Haupt- und Nebendiagnosen sowie Medikamentenverordnungen\n                        wurden untersucht.<\/jats:p>\n                  <jats:p>Die Geschlechterverteilung und Altersstruktur in der Allgemeinpsychiatrie\n                        blieben zwischen 2005 und 2022 weitgehend konstant. Die Fallzahlen nahmen\n                        kontinuierlich zu und die Verweildauer nahm kontinuierlich ab. Die\n                        Hauptdiagnosen aus der Gruppe Allgemeinpsychiatrie blieben relativ stabil,\n                        wobei die gr\u00f6\u00dfte Gruppe die affektiven St\u00f6rungen waren. Die Gesamtzahl der\n                        verordneten psychiatrischen und somatischen Medikamente stieg progredient.\n                        Besonders zunehmend war dabei der somatische Anteil. W\u00e4hrend der\n                        COVID-19-Pandemie wurden Z-Diagnosen als h\u00e4ufige Nebendiagnosen\n                        vergeben.<\/jats:p>\n                  <jats:p>Die Analyse von 61\u2009385 station\u00e4ren F\u00e4llen in der Allgemeinpsychiatrie zeigt,\n                        dass eine Anpassung der Versorgung an verschiedene sozio\u00f6konomische\n                        Bedingungen notwendig ist, um die Qualit\u00e4t der psychiatrischen Versorgung zu\n                        verbessern. Die Einf\u00fchrung des PEPP-Entgeltsystems scheint relevante\n                        Ver\u00e4nderungen in der allgemeinen Praxis der Allgemeinpsychiatrie bewirkt zu\n                        haben. Die Daten weisen auf eine Verk\u00fcrzung der Verweildauer, eine Zunahme\n                        der behandelten F\u00e4lle sowie eine erh\u00f6hte Kodierung somatischer\n                        Nebendiagnosen hin. Diese Ver\u00e4nderungen implizieren, dass das System zu\n                        einer verst\u00e4rkten Optimierung der Ressourcenverwendung gef\u00fchrt haben k\u00f6nnte.\n                        Gleichzeitig wurden jedoch keine relevanten Ver\u00e4nderungen in der Vergebung\n                        psychiatrischer Hauptdiagnosen gesehen.<\/jats:p>","DOI":"10.1055\/a-2866-8766","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:31:31Z","timestamp":1782340291000},"source":"Crossref","is-referenced-by-count":0,"title":["Retrospektive Analyse: station\u00e4re psychiatrische Versorgung von\n                    Patienten aus der Gruppe Allgemeinpsychiatrie von 2005 bis 2022 \u2013\n                    PEPP-Verg\u00fctungssystem und andere Entwicklungen"],"prefix":"10.1055","author":[{"given":"Evgeny","family":"Chula","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olaf","family":"Bick","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adieb","family":"Hazzan","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandr","family":"Rakitin","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Davids","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]},{"name":"Universit\u00e4t\n                Duisburg-Essen, Nordrhein-Westfalen, Germany","place":["Essen"],"department":["Medizinische Fakult\u00e4t"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Diogo Nellessen","sequence":"additional","affiliation":[{"name":"Evangelische Stiftung\n                    Tannenhof, NRW, Germany","place":["Remscheid"],"department":["Klinik f\u00fcr Psychiatrie, Psychotherapie, Suchtmedizin,\n                Psychosomatik, Neurologie"]},{"name":"Universit\u00e4t\n                Witten\/Herdecke, NRW, Germany","place":["Witten"],"department":["Fakult\u00e4t f\u00fcr Gesundheit"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1007\/978-3-662-68792-5_21","volume-title":"Statistische Krankenhausdaten: Grunddaten der Krankenh\u00e4user 2022","author":"U B\u00f6lt","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1055\/s-2001-15388","article-title":"Fallpauschalen in der station\u00e4r-psychiatrischen Versorgung","volume":"28","author":"U Frick","year":"2001","journal-title":"Psychiatrische Praxis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1055\/s-2007-986348","article-title":"Eine untere Grenze der Verweildauer ist 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