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Verfasst von:Senft, Jonas [VerfasserIn]   i
 Freund, Tobias [VerfasserIn]   i
 Wensing, Michel [VerfasserIn]   i
 Schwill, Simon [VerfasserIn]   i
 Poß-Doering, Regina [VerfasserIn]   i
 Szecsenyi, Joachim [VerfasserIn]   i
 Laux, Gunter [VerfasserIn]   i
Titel:Primary care practice-based care management for chronically ill patients (PraCMan) in German healthcare
Titelzusatz:outcome of a propensity-score matched cohort study
Verf.angabe:Jonas D. Senft, Tobias Freund, Michel Wensing, Simon Schwill, Regina Poss-Doering, Joachim Szecsenyi & Gunter Laux
Jahr:2021
Umfang:7 S.
Teil:volume:27
 year:2021
 number:1
 pages:228-234
 extent:7
Fussnoten:Published online: 11 Aug 2021 ; Gesehen am 31.08.2021
Titel Quelle:Enthalten in: European journal of general practice
Ort Quelle:Philadelphia, Pa. : Informa Healthcare/Taylor & Francis, 1995
Jahr Quelle:2021
Band/Heft Quelle:27(2021), 1, Seite 228-234
ISSN Quelle:1751-1402
Abstract:Background Growing prevalence of chronic diseases is a rising challenge for healthcare systems. The Primary Care Practice-Based Care Management (PraCMan) programme is a comprehensive disease management intervention in primary care in Germany aiming to improve medical care and to reduce potentially avoidable hospitalisations for chronically ill patients.Objectives This study aimed to assess the effect of PraCMan on hospitalisation rate and related costs.Methods A retrospective propensity-score matched cohort study was performed. Reimbursement data related to patients treated in general practices between 1st July 2013 and 31st December 2017 were supplied by a statutory health insurance company (AOK Baden-Wuerttemberg, Germany) to compare hospitalisation rate and direct healthcare costs between patients participating in the PraCMan intervention and propensity-score matched controls following usual care. Outcomes were determined for the one-year-periods before and 12 months after beginning of participation in the intervention.Results In total, 6148 patients participated in the PraCMan intervention during the observation period and were compared to a propensity-score matched control group of 6148 patients from a pool of 63,446 eligible patients. In the one-year period after the intervention, the per-patient hospitalisation rate was 8.3% lower in the intervention group compared to control (p = 0.0004). Per-patient hospitalisation costs were 9.4% lower in favour of the intervention group (p = 0.0002).Conclusion This study showed that the PraCMan intervention may be associated with a lower rate of hospital admissions and hospitalisation costs than usual care. Further studies may assess long-term effects of PraCMan and its efficacy in preventing known complications of chronic diseases.
DOI:doi:10.1080/13814788.2021.1962280
URL:kostenfrei: Volltext ; Verlag ; Resolving-System: https://doi.org/10.1080/13814788.2021.1962280
 kostenfrei: Volltext: https://www.tandfonline.com/doi/full/10.1080/13814788.2021.1962280
 DOI: https://doi.org/10.1080/13814788.2021.1962280
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:General practice
 health care organisation and management
K10plus-PPN:1768119600
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