Integrierte regionale Versorgung in der Praxis: Ein Werkstattbericht aus dem „Gesunden Kinzigtal“

Hildebrandt, Helmut; Schmitt, Gwendolyn; Roth, Monika; Stunder, Brigitte

doi:10.1016/j.zefq.2011.09.003

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…The IVGK pursues a population-based approach with the goal of improving the health status of the population, patient orientation, and quality of care, at the same time as reducing per capita costs. The aim is to achieve this through a care program for the chronically ill, programs of target group-specific prevention and health promotion, as well as patient activation and optimized management of intersectoral interfaces (37,38).…”

Section: Box "Healthy Kinzigtal Integrated Care"mentioning

confidence: 99%

Ten-Year Evaluation of the Population-Based Integrated Health Care System “Gesundes Kinzigtal”

Schubert¹,

Stelzer²,

Siegel³

et al. 2021

Deutsches Ärzteblatt International

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ealth care in Germany is provided-historically grown-in sectors that are largely distinct from one another, at the interfaces of which recurrent losses of information and "breaks in care" occur, leading to negative effects on the quality and cost of care (1, 2). One approach to improving the effectiveness and efficiency of health care is seen in "integrated care" with horizontal and vertical networks of actors. A concept of this kind was developed for a rural area by Optimedis AG and the "Kinzigtal Medical Quality Network Medical Initiative" (MQNK), which undertook a joint venture to form "Gesundes Kinzigtal GmbH." The selective contract "Gesundes [healthy] Kinzigtal Integrated Care" (Integrierte Versorgung Gesundes Kinzigtal, IVGK) was entered into with two health insurance companies (Box).The population-based IVGK is considered to be a best-practice example of integrated care in Germany as well as internationally (3-6). The early years saw extensive accompanying research and process evaluation, for example, by means of surveys among members (e1), as well as surveys among service partners regarding satisfaction, cooperation, and their commitment to integrated care (e2), health promotion among the elderly (e3), patient satisfaction, and preference of insured persons in terms of their participation in decision-making (e4). Based on routine data, a survey on underuse, overuse, and misuse of care was conducted, involving four authors of the study reported here. The survey investigated the quality of care only for the period 2005-2011 compared to care in Baden-Württemberg (random sample)-using 18 indicators for selected diseases that formed the focus of the IVGK (7).No external outcome evaluation based on routine statutory health insurance data for the period after 2011 has been carried out as yet. This represents a serious gap in evidence-especially if one assumes that undesirable trends such as underuse, for example, as a result of managed care elements like the shared savings contract (e5, 8), would only become demonstrably evident after a number of years. It also appears conceivable that unintended side effects as a result of focusing integrated care management on specific programs only emerge after years. Although evaluation studies, albeit with inconsistent results, from other countries are available (4, 9-17), the differences in health care as well as in the understanding of SummaryBackground: The population-based integrated health care system called "Gesundes Kinzigtal" (Integrierte Versorgung Gesundes Kinzigtal, IVGK) was initiated more than 10 years ago in the Kinzig River Valley region, which is located in the Black Forest in the German state of Baden-Württemberg. IVGK is intended to optimize health care while maximizing cost-effectiveness. It consists of programs for promoting health and for enabling cooperation among service providers, as well as of a shared-savings contract that has enabled resources to be saved every year. The goal of the present study was to investigate trends in the quality of care p...

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Section: Box "Healthy Kinzigtal Integrated Care"mentioning

confidence: 99%

Ten-Year Evaluation of the Population-Based Integrated Health Care System “Gesundes Kinzigtal”

Schubert¹,

Stelzer²,

Siegel³

et al. 2021

Deutsches Ärzteblatt International

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“…B. "Gesundes Kinzigtal" [17], "SCHAAZ-Schaafheimer Ärzte-und Apothekenzentrum [18]), die Förderung der Aus-und Weiterbildung in der Allgemeinmedizin (z. B. Kompetenzzentren Weiterbildung Allgemeinmedizin der Universitäten Frankfurt am Main und Marburg [19]) sowie die Entwicklung und Erprobung innovativer Versorgungsformen [20].…”

Section: Kooperationsstrukturenunclassified

Die hausärztliche Versorgungssituation in Sachsen-Anhalt. Wahrnehmung, Beschreibung und Bewertung lokaler Versorgungsprobleme durch die Bürgermeister

Barthen

Gerlinger

2015

Gesundheitswesen

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The combination of ageing general practitioners and a shortage of young doctors is having a negative effect on primary health care in almost all municipalities in the German state of Saxony-Anhalt. The communities are finding it progressively more difficult to safeguard the provision of primary health care. To solve these problems, they have neither the appropriate skills nor sufficient funding. The aim of this study was to ask mayors in Saxony-Anhalt to describe and evaluate local primary health-care systems from their perspective. In June of 2013, all 124 full-time mayors in Saxony-Anhalt were asked by e-mail to participate in a web-based survey. The questionnaire was broken down into the categories: "socio-demographics", "health-care system in the communities", "causes and measures taken to deal with health-care problems", "development of the primary health-care system" and "cooperation". The data were descriptively analysed using IBM Statistics SPSS. The response rate was 51.6% (n=64). For 87.5% of the respondents the primary health-care system is an important location factor in their community. 45.3% consider it their duty to ensure the provision of local health care. However, 42.6% of the polled mayors believe the infrastructure in their community to be too unattractive to convince young general practitioners to settle down there. In the next 10 years, 75.0% of the respondents expect the provision of primary health care to deteriorate further. In view of local deficits, the polled municipalities are very interested in safeguarding the continued existence of primary health care. As local experts, communities should get more involved in planning and decision-making processes.

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Integrated Diabetes Care in Germany: Triple Aim in Gesundes Kinzigtal

Lang

Kern

Schulte³

et al. 2016

Integrated Diabetes Care

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Integrierte regionale Versorgung in der Praxis: Ein Werkstattbericht aus dem „Gesunden Kinzigtal“

Cited by 7 publications

References 4 publications

Ten-Year Evaluation of the Population-Based Integrated Health Care System “Gesundes Kinzigtal”

Ten-Year Evaluation of the Population-Based Integrated Health Care System “Gesundes Kinzigtal”

Die hausärztliche Versorgungssituation in Sachsen-Anhalt. Wahrnehmung, Beschreibung und Bewertung lokaler Versorgungsprobleme durch die Bürgermeister

Integrated Diabetes Care in Germany: Triple Aim in Gesundes Kinzigtal

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