Ulrich, Lisa-R., Schatz, Tanja R., Lappe, Veronika, Ihle, Peter, Barthen, Linda, Gerlach, FerdinandM. and Erler, Antje (2017). Primary and secondary data on dementia care as an example of regional health planning. Bundesgesundheitsblatt-Gesund., 60 (12). S. 1372 - 1383. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Health service planning that takes into account as far as possible the regional needs and regional discrepancies is a controversial health issue in Germany. In a pilot scheme, we tested a planning process for regional healthcare services, based on the example of dementia care. The aim of this article is to present the strengths and limitations of this planning process. We developed an indicator set for dementia care based on routine regional data obtained from two German statutory health insurance companies. Additionally, primary data based on a questionnaire sent to all GPs in the area were evaluated. These data were expanded through the addition of official socio-demographic population data. Procedures and evaluation strategies, discussion of the results and the derivation of planning measures followed, in close agreement with a group of local experts. Few epidemiological data on regional variations in health care planning are publicly available. Secondary data from statutory health insurance companies can be assessed to support the estimation of regional health care needs, but interpretation is difficult. The use of surveys to collect primary data, and the assessment of results by the local health board may facilitate interpretation and may contribute towards more valid statements regarding regional health planning. Despite the limited availability of data and the considerable efforts involved in data analysis, the project demonstrates how needs-based health service planning can be carried out in a small region, taking into account the increasing demands of the local health care providers and the special local features.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Ulrich, Lisa-R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schatz, Tanja R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lappe, VeronikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ihle, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barthen, LindaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerlach, FerdinandM.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erler, AntjeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-209571
DOI: 10.1007/s00103-017-2642-6
Journal or Publication Title: Bundesgesundheitsblatt-Gesund.
Volume: 60
Number: 12
Page Range: S. 1372 - 1383
Date: 2017
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1437-1588
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SMALL-AREA ANALYSIS; CLAIMS DATA; GERMANY; LEVEL; PREVALENCE; CAREGIVERS; CHALLENGES; PHYSICIANS; SERVICESMultiple languages
Public, Environmental & Occupational HealthMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20957

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