![]() ![]() The ambulatory claims data cover approximately 97% of all medical treatments of statutorily insured adults ( e8).įor reasons of data protection, the aforementioned dataset of the total population does not contain all information coded in the course of routine clinical care. Among the statutorily insured, approximately 90% had at least one visit to an ambulatory physician within 12 months. In 2016, approximately 89% of the German population (all ages) had statutory health insurance, while the rest were predominantly covered by private health insurance (10.5%). The 12-month prevalence and medical comorbidity data for patients with severe mental illness (SMI) were examined in cross-section using the most recent available billing data (2016 age ≥ 18 years N = 59 561 310). Data include patient-related information (age, gender, place of residence, diagnoses, insurance status, services used) as well as information on the care provider (physician, practice, specialist field, main services). Medical records of the same patient’s contacts with different physicians were linked based on the patient’s surname, forename, and date of birth. Patients with no contact to the health system are not included in the analyses. Hence each ASHIP constitutes a formal organization of the ambulatory physicians and psychotherapists in the region concerned. ![]() In the German healthcare system the ASHIP are responsible for the organization of the out-of-hospital (ambulatory) health services as well as for the settlement and billing of the ambulatory physicians and therapists treating patients who have statutory health insurance. The database consists of billing data (§ 295 German Social Code V) from all adults with statutory health insurance who had contact with general or specialist physician or psychotherapist services accredited to invoice the German regional associations of statutory health insurance physicians (ASHIP) ( e7). ![]()
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