Case Management Program for Patients With Chronic Heart Failure

Hendricks, Verena; Schmidt, Simone; Vogt, Achim; Gysan, D. B.; Latz, Volker; Schwang, I.; Griebenow, R.; Riedel, Rainer

doi:10.3238/arztebl.2014.0264

Cited by 20 publications

(17 citation statements)

References 19 publications

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“…Table 1 displays a detailed analysis of the medical indications covered. The most common indications were cardiovascular diseases [ 2 , 18 , 22 , 34 , 37 , 43 , 50 ] and type 2 diabetes mellitus [ 25 – 27 , 39 , 44 , 49 ]. Figure 2 shows that 21 studies (60.0%) evaluated health care programs such as disease management programs which were assessed in 8 studies (22.9%) alone [ 21 , 25 – 27 , 37 , 39 , 43 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…The other two studies (5.7%) referred to a SHI database [ 24 , 36 ]. Finally, two studies (5.7%) did not specify which individual fund supplied the data [ 34 , 37 ]. Of the five studies (14.3%) not based on insurance data, three studies (8.6%) obtained hospital data [ 23 , 48 , 50 ], one study (2.9%) used the German Trauma Registry [ 41 ], and one study (2.9%) referenced the International Marketing Services Health (IMS) database as a source [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…The propensity score predicts the probability of an individual being assigned to the treatment group given a function of observed covariates [ 51 ]. Generally, the score is estimated by logistic regression – as was the case in 86.6% ( n = 13) of the 15 studies that applied PSM [ 2 , 3 , 22 – 27 , 31 , 34 , 42 , 43 , 49 ]. Two of these studies (13.3%) gave no details on the estimation method [ 36 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

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Health economic evaluations based on routine data in Germany: a systematic review

Gansen

2018

BMC Health Serv Res

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BackgroundImproved data access and funding for health services research have promoted the application of routine data to measure costs and effects of interventions within the German health care system. Following the trend towards real world evidence, this review aims to evaluate the status and quality of health economic evaluations based on routine data in Germany.MethodsTo identify relevant economic evaluations, a systematic literature search in the databases PubMed and EMBASE was complemented by a manual search. The included studies had to be full economic evaluations using German routine data to measure either costs, effects, or both. Study characteristics were assessed with a structured template. Additionally, the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) were used to measure quality of reporting.ResultsIn total, 912 records were identified and 35 studies were included in the further analysis. The majority of these studies was published in the past 5 years (n = 27, 77.1%) and used insurance claims data as a source of routine data (n = 30, 85.7%). The most common method used for handling selection bias was propensity score matching. With regard to the reporting quality, 42.9% (n = 15) of the studies satisfied at least 80% of the criteria on the CHEERS checklist.ConclusionsThis review confirms that routine data has become an increasingly common data source for health economic evaluations in Germany. While most studies addressed the application of routine data, this analysis reveals deficits in considering methodological particularities and in reporting quality of economic evaluations based on routine data. Nevertheless, this review demonstrates the overall potential of routine data for economic evaluations.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3080-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Health economic evaluations based on routine data in Germany: a systematic review

Gansen

2018

BMC Health Serv Res

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“…In Deutschland zeigt die Evaluation eines Herzinsuffizienzprogramms eine geringere Hospitalisierungs-und Rehospitalisierungsrate sowie geringere jährliche stationäre Behandlungskosten; bezogen auf die Mortalität finden sich jedoch keine Unterschiede im Vergleich zur Regelversorgung [13].…”

Section: Unterschiede Zwischen Deutschund Türkischsprachigen Teilnehmunclassified

Unterschiede zwischen deutsch- und türkischsprachigen Teilnehmenden an einem strukturierten Herzinsuffizienz-Versorgungsmodell

Ernstmann

Karbach

2016

Herz

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“…Durch eine extrabudgetäre Vergütung wurden Anreize gesetzt, diese Patienten nicht nur bei der Erstvorstellung zeitnah zu sehen, sondern auch langfristig weiter zu betreuen[13]. Eine begleitende Registerstudie deutet an, dass die intensivierte ambulante Betreuung durch Senkung der Krankenhauseinweisungen zur Kostenreduktion beiträgt[14].…”

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Herzinsuffizienznetzwerke (HF-NETs) und Herzinsuffizienzeinheiten (HFUs) – ein Überblick

Güder

Störk

2019

Aktuel Kardiol

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ZusammenfassungDie Herzinsuffizienz zeichnet sich durch eine hohe Hospitalisations- und Letalitätsrate aus. Ambulante und stationäre Herzinsuffizienzeinheiten (HFUs) zielen darauf ab, in einem gemeinsam strukturierten regionalen Netzwerk (HF-NET) jede Versorgungsstufe der Herzinsuffizienz auf hohem Niveau zu behandeln, die Prognose der Herzinsuffizienz zu verbessern und die Hospitalisationsrate zu senken. Als zusätzliche, für den reibungslosen Ablauf zwingend erforderliche Akteure sind in allen HFUs nichtärztliche spezialisierte Fachkräfte vorzusehen. Jede stationäre HFU benötigt zusätzlich zur Akutversorgung ein standardisiertes Entlassmanagement sowie SOPs zur Überleitung von Patienten in die poststationäre, ambulante Versorgung. Das poststationäre Versorgungsprogramm wird im Kern von Hausarzt und niedergelassenem Kardiologen ausgestaltet (regionale SOPs) und bezieht weitere medizinische Akteure, z. B. Rehabilitationskliniken, mit ein.

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Case Management Program for Patients With Chronic Heart Failure

Abstract: Fewer patients in the intervention group were admitted and readmitted to hospital, and lower inpatient treatment costs were identified. The physician contact rate was higher than in the control group.

Cited by 20 publications

References 19 publications

Health economic evaluations based on routine data in Germany: a systematic review

Health economic evaluations based on routine data in Germany: a systematic review

Unterschiede zwischen deutsch- und türkischsprachigen Teilnehmenden an einem strukturierten Herzinsuffizienz-Versorgungsmodell

Herzinsuffizienznetzwerke (HF-NETs) und Herzinsuffizienzeinheiten (HFUs) – ein Überblick

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