Evidence map›Paper›PMID 41224096›Full record

ArticlePsychiatrische Praxis2025

[Treatment pathways in the outpatient care of patients with depression - An analysis of statutory health insurance claims data].

Sarah Schlierenkamp, Sandra Werner, Pauline Schlesiger, Luisa Friedrich, Carina Abels, Klemens Höfer, Dieter Best, Barbara Lubisch, Gebhard Hentschel, Franziska Weigel and 9 more

Abstract readEnglish Abstract
In one paragraph

Article in Psychiatrische Praxis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Sarah SchlierenkampEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.ORCID 0009-0008-9297-9020
Sandra WernerEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.
Pauline SchlesigerEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.
Luisa FriedrichEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.
Carina AbelsLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Essen.
Klemens HöferLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Essen.
Dieter BestDeutsche Psychotherapeutenvereinigung (DPtV), Berlin.
Barbara LubischDeutsche Psychotherapeutenvereinigung (DPtV), Berlin.
Gebhard HentschelDeutsche Psychotherapeutenvereinigung (DPtV), Berlin.
Franziska WeigelAOK Bundesverband, Berlin.
Dagmar WieczorekBARMER, Wuppertal.
Ursula MarschallBARMER, Wuppertal.
Christa SchaffBerufsverband für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie in Deutschland e. V. (bkjpp), Mainz.
Bettina MeiselVereinigung für analytische und tiefenpsychologisch fundierte Kinder- und Jugendlichen-Psychotherapie in Deutschland e.V. gegr. 1953 (VAKJP), Berlin.
Helene TimmermannVereinigung für analytische und tiefenpsychologisch fundierte Kinder- und Jugendlichen-Psychotherapie in Deutschland e.V. gegr. 1953 (VAKJP), Berlin.
Anja NeumannEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.
Anke WalendzikLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Essen.
Jürgen WasemLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Essen.
Silke NeusserEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Essen.ORCID 0000-0001-9077-7005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The psychotherapy Directive was reformed in 2017. The aim is to analyse the impact of the reform on treatment pathways.A pre-post comparison was conducted using statutory health insurance claims data. Patients with a first diagnosis of depression in Q1 2016 (pre-period) or Q1 2018 (post-period) were included. The observation period was one year.149,941 (pre-period) and 134,832 (post-period) patients were included. In the post-period, more services are used up to the start of directive-therapy than in the pre-period. The interval between first contact and first therapy service has increased by 16.9 days in the post-period.The time interval until the start of therapy has increased, but more psychotherapeutic services are being used. The reform means that more treatment pathways are available and that these have become more diversified.

Indexed as

Ambulatory CareCritical PathwaysDepressive DisorderInsurance Claim ReviewNational Health ProgramsPsychotherapyAdultAgedFemaleGermanyHealth Care ReformHumansMaleMiddle Aged

Identifiers

PMID41224096
PMCPMC12611476

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.