Gutenberg Open Science: Effects of a statutory reform on waiting times for outpatient psychotherapy : a multicentre cohort study

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-8573

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DC Field	Value	Language
dc.contributor.author	Singer, Susanne	-
dc.contributor.author	Engesser, Deborah	-
dc.contributor.author	Wirp, Bernhild	-
dc.contributor.author	Lang, Klaus	-
dc.contributor.author	Paserat, Anke	-
dc.contributor.author	Kobes, Jörg	-
dc.contributor.author	Porsch, Udo	-
dc.contributor.author	Mittag, Martina	-
dc.contributor.author	Taylor, Katherine	-
dc.contributor.author	Gianicolo, Emilio	-
dc.contributor.author	Maier, Lena	-
dc.date.accessioned	2023-01-16T11:31:05Z	-
dc.date.available	2023-01-16T11:31:05Z	-
dc.date.issued	2022	-
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/8589	-
dc.description.abstract	Aims: Social inequality in access to mental health care is a current concern across the world. The authors determined whether differences in waiting times for outpatient psychotherapy changed after a statutory reform of the German psychotherapy law. Methods: The dates of first contact, first visit and treatment start, along with socio demographic and clinical data, were extracted from patient records in community based psychotherapy practices. Predictors of waiting times for first visit and treatment start were investigated using multilevel Cox regression models to estimate adjusted hazard ratios (HRadj). Results: Data from 1548 patient records from nine practices were extracted. Before the reform, the time span between first contact and first visit was longer for patients with compulsory education than for patients with a college degree (HRadj 0.8, 95% CI 0.6–1.0), whereas this was no longer the case after the law changed (HRadj 1.0, 95% CI 0.8–1.3). Patients whose treatment was covered by the state were at higher risk of a long waiting time from last visit to treatment start compared with patients with statu tory health insurance after the law changed (HRadj 0.4, 95% CI 0.3–0.7), which had not been the case before the law changed (HRadj 1.3, 95% CI 0.8–2.2). Conclusions: Social inequality in access to psychotherapy was reduced in part by the updated psychotherapy law in terms of educational groups; however, it increased in other aspects. This shows how political decisions can powerfully impact clinical prac tice, ultimately helping one group of patients while disadvantaging another.	en_GB
dc.description.sponsorship	Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - Projektnummer 491381577	de
dc.language.iso	eng	de
dc.rights	CC BY-NC-ND	*
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Effects of a statutory reform on waiting times for outpatient psychotherapy : a multicentre cohort study	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-8573	-
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	Counselling and psychotherapy research	de
jgu.journal.volume	22	de
jgu.journal.issue	4	de
jgu.pages.start	982	de
jgu.pages.end	997	de
jgu.publisher.year	2022	-
jgu.publisher.name	Wiley	de
jgu.publisher.place	Chichester	de
jgu.publisher.issn	1746-1405	de
jgu.organisation.place	Mainz	-
jgu.subject.ddccode	610	de
jgu.publisher.doi	10.1002/capr.12581	de
jgu.organisation.ror	https://ror.org/023b0x485	-
jgu.subject.dfg	Lebenswissenschaften	de
Appears in collections:	DFG-491381577-H

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