F31 F32 F33 F34.1 F40 F41 F43.2 F45 F10 F20 G35
Conditions
Interventions
Group 1: Treatment at a medical specialist, taking part in the PNP contract.
The PNP contract in Baden-Wuerttemberg is implemented by AOK BW according to § 73c SGB V. The aim of the PNP contract is to
Sponsors
Universitätsklinikum Hamburg-Eppendorf
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - insured by the AOK BW - at least 18 years old - treated by a practitioner or therapist with admission in Baden-Württemberg, Germany - are on sick leave (for the first time since one year) due to a mental or neurological disorder (bipolar disorder, depressive disorder, anxiety disorder, adaptation disorder, somatoform disorder, alcohol abuse disorder, schizophrenia, multiple sclerosis)
Exclusion criteria
Exclusion criteria: - have a guardian - were on sick leave due to a mental disorder or multiple sclerosis during the least year subsequently: - patients who have changed the group (IG-PNP, CG-GP, CG-UC) during the study period (i.e. have quitted the contract after baseline assessment or entered into a new contract)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a) Effectiveness: health-related quality of life measured by the short-form health survey SF-36 (mental health score) (surveyed at study inclusion (sick leave, t0) and 12 months later (t1), group comparison at t1) b) Comparison of costs: costs caused by outpatient and inpatient service utilization and medication within one year following diagnosis, measured by account data | — |
Secondary
| Measure | Time frame |
|---|---|
| a) Effectiveness: functional health (SF-36, physical health score), EQ-5D, disease-specific symptom severity (PHQ-9, GAD-7, SSS-8, AUDIT, ESI, ADNM-20, MSIS-29), patient satisfaction measured by the questionnaire of satisfaction with ambulatory care (ZAPA) (group comparison at t1) b) Comparison of costs (routine records): inpatient and outpatient service utilization, days of incapacity to work and sick pay (during a 12-months period after sick leave) c) Accuracy of diagnoses: accuracy of diagnoses in the 12-month period: For this purpose, the diagnoses F32.x and F33.x are classified as specific (F32.0-F32.3, F33.0-F33.4) and unspecific diagnoses (F32.8, F32.9, F33.8, F33.9). d) Structure and process quality: Reasons for participating in the PNP contract, overall evaluation and use of the elements of the contract, satisfaction with inter-professional cooperation and with the process of referral (semi-structured interviews with a selection of approx. 10 PNP health practinioners as preperation for a quantitative survey, quantitative survey (one time of measurement) of all PNP health practitioners | — |
Countries
Germany
Contacts
Public ContactJulia Magaard
Institut und Poliklinik für Medizinische PsychologieZentrum für Psychosoziale Medizin Universitätsklinikum Hamburg-Eppendorf
Outcome results
None listed