Evaluating the reformation of the psychotherapy guideline - a comparison of patients with complex and non-complex diseases

• Conditions: Chronic physical illness; F00-F99; Mental and behavioural disorders

• Registration Number: DRKS00020344
• Lead Sponsor: niversitätsklinikum Gießen und Marburg, Klinik für Psychosomatik und Psychotherapie

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-07-23
• Results First Posted: 2021-11-05
• Study Completion: 2022-01-08
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 5194

Inclusion Criteria

Sample: subjects with sufficient German language skills and cognitive proficiency; informed consent to participate in the study.
Furthermore, the three target groups of the patient sample have to meet the following criteria: (A) subjects who wanted to see a psychotherapist but were unable to achieve a primary psychotherapeutic face-to-face contact, (B) subjects who had at least one psychotherapeutic intervention from the 1st quarter of 2012 to the 1st quarter of 2017 (pre-reformation), (C) subjects who had at least one psychotherapeutic intervention from the 1st quarter of 2018 to the 4th quarter of 2019 (post-reformation)
Focus groups, interviews and survey with psychotherapists: entry in the medical register of the KBV under the group psychological psychotherapists or medical psychotherapists; treatment of adults; psychotherapeutic work in practice since at least 2015 (2 years prior to reform); informed consent.

Focus groups and survey with primary care physicians: entry in the medical register of the KBV under the group primary care physician (internal or general medicine); primary care work since at least 2015 (2 years prior to reform); informed consent.

Secondary data
KBV billing data: data from the full surveys of all KBV insured persons (billing services from 2015 to 2019).
BARMER health insurance data: data on the total population of BARMER policyholders (accounting data from 2009 to 2019)

Exclusion Criteria

Organic, including symptomatic, mental disorders
(ICD-10: F00-F09); mental retardation (ICD-10: F70-F79); age < 18 or > 79 years

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Health insurance data (BARMER): 1) utilization rates of psychotherapeutic appointments, and 2) reduction of waiting periods between the primary contact and the start of the psychotherapeutic treatment.