LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
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As a result <strong>of</strong> <strong>the</strong> planned project work, a complete<br />
package <strong>of</strong> generic specification pr<strong>of</strong>iles can be made<br />
available for networkable documentation platforms. In<br />
addition, <strong>the</strong> necessary conceptual, legal and technical<br />
preconditions are created to place <strong>the</strong> recruitment <strong>of</strong><br />
extensive samples for clinical studies and epidemiological<br />
and economic studies on a broader basis. In addition,<br />
within <strong>the</strong> framework <strong>of</strong> a business model, economic<br />
framework conditions can be defined, in order to place any<br />
future adaption and implementation by o<strong>the</strong>r competence<br />
networks on a basis that would ensure success. Finally,<br />
practical experience values will be assured through <strong>the</strong><br />
exemplary implementation <strong>of</strong> a case implementation <strong>of</strong> <strong>the</strong><br />
neuropsychiatric research networks.<br />
Research project for <strong>the</strong> cross-sectoral analysis <strong>of</strong><br />
healthcare <strong>of</strong> people with mental disorders: “Crossdisciplinary<br />
and –sectoral healthcare analysis with <strong>the</strong><br />
aim <strong>of</strong> optimising <strong>the</strong> healthcare situation <strong>of</strong> people with<br />
mental and psychosomatic illnesses”<br />
Project director: W. Gaebel<br />
Scientific assistants: J. Zielasek, S. Kowitz<br />
Financing: Federal Medical Chamber<br />
Cooperation partner: Federal Medical Chamber; DGPPN,<br />
IGES Institute <strong>of</strong> Health System Research, Berlin; VdEK,<br />
Berlin; HKK, DAK, KKH.<br />
In this third-party–funded project, obtained from <strong>the</strong><br />
DGPPN in 2008 and funded within <strong>the</strong> healthcare research<br />
programme <strong>of</strong> <strong>the</strong> Federal Medical Chamber, for <strong>the</strong> first<br />
time data from three health insurance companies will be<br />
combined anonymously with <strong>the</strong> datasets from <strong>the</strong> German<br />
Pension Insurance Association in order to carry out a<br />
cross-sectoral analysis <strong>of</strong> <strong>the</strong> utilisation <strong>of</strong> health services<br />
because <strong>of</strong> mental disorders. Indicators for over-, underand<br />
inadequate healthcare will be identified and analysed.<br />
In addition to descriptive statistical procedures, methods<br />
will also be used to model healthcare systems. The aim is to<br />
obtain information regarding <strong>the</strong> necessary improvements<br />
in mental healthcare by analysing treatment pathways and<br />
identifying predictors <strong>of</strong> unfavourable disease courses such<br />
as somatic comorbidity.<br />
Additional Mental Health Survey within <strong>the</strong><br />
German Health Survey 2009-2011<br />
Project director: W. Gaebel<br />
Scientific assistant: J. Zielasek<br />
Financing: DGPPN, Federal Health Ministry<br />
Cooperation partner: DGPPN; Institute for Psychology, TU<br />
Dresden (U. Wittchen), Robert Koch Institute Berlin (B. Kurth)<br />
In this project, funded by <strong>the</strong> DGPPN, <strong>the</strong> project group has<br />
carried out – within <strong>the</strong> context <strong>of</strong> <strong>the</strong> new additional Mental<br />
108<br />
<strong>of</strong> <strong>the</strong> German Health Survey (Project director: Robert Koch<br />
Institute, Berlin) – investigations since 2008 into <strong>the</strong> early<br />
diagnosis <strong>of</strong> psychotic disorders in <strong>the</strong> general population by<br />
means <strong>of</strong> questionnaire interviews with around 7,000 German<br />
citizens. The investigations are designed to determine <strong>the</strong><br />
frequency <strong>of</strong> subclinical psychotic symptoms in <strong>the</strong> general<br />
population in a cross-sectional study and <strong>the</strong>n follow up <strong>the</strong>se<br />
individuals in future surveys, <strong>the</strong>reby providing new knowledge<br />
about <strong>the</strong> prospective significance <strong>of</strong> subclinical psychotic<br />
phenomena in healthy adults, which could be significant for<br />
<strong>the</strong> early diagnosis and prevention <strong>of</strong> psychoses.<br />
3.1.3.8 Transcranial magnet stimulation<br />
Director: J. Cordes<br />
Scientific assistants: E. Ben Sliman, K. Hoppe,<br />
S. Arnau, T. Nolting, J. Brinkmeyer, S. J. Kim, J. Kotrotsios,<br />
L. Kostorz, M. Arends, F. Hellen<br />
Clinical assistants: J. Closset, C. Lange-Asschenfeldt,<br />
B. Stueken, T. Salamon, J. Malevani, C. von Hirsch,<br />
J. Kotrotsios, C. Huck<br />
Doctoral candidates: S. J. Kim, J. Kotrotsios<br />
Internal cooperation: W. Wölwer, W. Gaebel,<br />
A. Mobascher, P. Kienbaum, T. Klenzner, C. Plettenberg<br />
External cooperation: Ruhr <strong>University</strong>, Bochum:<br />
M. W. Agelink, J. Kornischka; Georg-August <strong>University</strong>,<br />
Göttingen: P. Falkai, T. Wobrock; <strong>University</strong> <strong>of</strong> Regensburg:<br />
B. Langguth, G. Hajak, P. Eichhammer, M. Landgrebe;<br />
Offenbach City <strong>Hospital</strong>: A. Klimke<br />
Financing: German Research Association (GRA)<br />
16<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
0<br />
GAF Score Health Survey (Coordinator: U. Wittchen, Dresden) as part<br />
Control group rTMS<br />
Figure 23: Statistically significant (p=0.048) improvement <strong>of</strong> global<br />
functioning (measured as improvement in <strong>the</strong> Global Assessment <strong>of</strong><br />
Functioning (GAF) scale) in patients with schizophrenia with pronounced<br />
negative symptoms (score on <strong>the</strong> negative symptom scale <strong>of</strong> <strong>the</strong> Positive<br />
and Negative Symptom Scale (PANSS) > 17) after treatment with repetitive<br />
transcranial magnetic stimulation (rTMS) compared to a control group<br />
(figure modified after: Cordes et al., Psychiatr. Res. 2009; DOI:10.1016/j.<br />
psychres.2009.01.014)