ArticleDer Nervenarzt2016
[Provision of outpatient specialist care for mental disorders : Minor regional differences in treatment needs, major regional differences in availability].
Article in Der Nervenarzt, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 35 citations in OpenAlex.
- [Area-level socioeconomic deprivation, socioeconomic status, and depressive symptoms: a multilevel analysis using data from the GEDA 2019/2020 study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Health literacy and chronic disease: a comparison of somatic and mental illness.Frontiers in public health · 2025Article
- [Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony].Psychiatrische Praxis · 2024Article
- [Support for families with a mentally ill parent : Which forms of help do mentally ill parents utilize and which would they like to have?]Der Nervenarzt · 2024Review
- Impact of COVID-19 on the treatment of depressive patients in Germany-a gap in care for the mentally ill?Frontiers in psychiatry · 2023Article
- [Cross-sectoral therapeutic concepts and innovative technologies: new opportunities for the treatment of patients with mental disorders].Der Nervenarzt · 2022Review
- [Disease burden of borderline personality disorder: cost of illness, somatic comorbidity and mortality].Der Nervenarzt · 2021Review
- Persistent depressive disorder across the adult lifespan: results from clinical and population-based surveys in Germany.BMC psychiatry · 2020Article
- [Epidemic of depression? : Development of prevalence and help-seeking behaviour].Der Nervenarzt · 2019Article
- Time trends in depression prevalence and health-related correlates: results from population-based surveys in Germany 1997-1999 vs. 2009-2012.BMC psychiatry · 2018Article
- Longterm persistence and nonrecurrence of depression treatment in Germany: a four-year retrospective follow-up using linked claims data.International journal of methods in psychiatric research · 2018Article
- Prevention of Common Mental Disorders in Employees. Perspectives on Collaboration from Three Health Care Professions.International journal of environmental research and public health · 2018Article
- The utilization of psychiatric and psychotherapeutic services in Germany - individual determinants and regional differences.Journal of health monitoring · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the high burden attributed to mental disorders, an important purpose of a general healthcare system is to provide comprehensive medical specialist care that is both locally available and in line with demand; however, the density of outpatient physicians and psychotherapists significantly varies between regions in Germany. To verify if these variations reflect regional variations of morbidity rates, routine data of statutory health insurance companies are analyzed on a regular basis. But these administrative data directly depend on the actual regional health care supply. Hence, independent epidemiological data on prevalence rates of mental disorders could be a valuable supplement.
methodsAnalyses are based on prevalence rates of the representative epidemiological German health interview and examination survey and its mental health module (DEGS1-MH) as well as supplemental data from the German national and regional associations of statutory health insurance physicians. The associations between prevalence rates and density of outpatient physicians and psychotherapists were computed for the DEGS sample points, representing 139 different German districts. Transregional care provision for neighboring regions was taken into account.
resultsThere were neither significant associations of regional density of outpatient physicians and psychotherapists with prevalence rates of mental disorders in general nor with prevalence rates of severe mental disorders; however, taking into account transregional care provision for neighboring regions the huge variability of provider density decreases. DISCUSSION: The regional inequality of physician and psychotherapist density cannot be explained by regional differences in treatment needs. The results indicate potential improvements in healthcare provision for mental disorders in Germany through the adaptation to actual morbidity rates; however, the definition of treatment needs in mental disorders requires further evaluation.
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