Schubert, Ingrid, Siegel, Achim, Graf, Erika, Farin-Glattacker, Erik, Ihle, Peter, Koester, Ingrid, Stelzer, Dominikus, Mehl, Claudia, Schmitz, Jutta, Droege, Patrik, Guenster, Christian, Kloess, Andreas, Vach, Werner ORCID: 0000-0003-1865-8399 and Geraedts, Max (2019). Study protocol for a quasi-experimental claims-based study evaluating 10-year results of the population-based integrated healthcare model 'Gesundes Kinzigtal' (Healthy Kinzigtal): the INTEGRAL study. BMJ Open, 9 (1). LONDON: BMJ PUBLISHING GROUP. ISSN 2044-6055

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Abstract

Introduction Patients often experience interface problems when treated by different specialists and in different healthcare sectors. Integrated care concepts aim to reduce these problems. While most integrated healthcare models focus on individual diseases, the integrated care model 'Gesundes Kinzigtal' applies a population-based approach and addresses the full spectrum of morbidities for a population defined by area of residence-the Kinzigtal. A special feature of the model is the joint savings contract between the regional management company and the statutory health insurers. The INTEGRAL study aims at assessing the effectiveness of 'Gesundes Kinzigtal' under routine conditions in comparison to conventional care over a period of 10 years in order to understand the benefits but also the potential for (unintended) harms. Methods and analysis Database Claims data from statutory health insurance funds 2005-2015. The evaluation consists of a quasi-experimental study, with Kinzigtal as intervention region, at least 10 further regions with a similar population and healthcare infrastructure as primary controls and an additional random sample of insurees from the federal state of Baden-Wurttemberg as secondary controls. Model-specific and 'non-specific' indicators adopted from the literature and enriched by focus group interviews will be used to evaluate the model's effectiveness and potential unintended consequences by analysing healthcare utilisation in general. Temporal trends per indicator in the intervention region will be compared with those in each control region. The overall variation in trends for the indicators across all regions provides information about the potential to modify an indicator due to local differences in the healthcare system. Ethics and dissemination Ethic Commission of the Faculty of Medicine, Philipps-University Marburg (ek_mr_geraedts_131117). Results will be discussed in workshops, submitted for publication in peer-review journals and presented at conferences. Trial registration number DRKS00012804.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schubert, IngridUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siegel, AchimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Graf, ErikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Farin-Glattacker, ErikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ihle, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koester, IngridUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stelzer, DominikusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mehl, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmitz, JuttaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Droege, PatrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guenster, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kloess, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vach, WernerUNSPECIFIEDorcid.org/0000-0003-1865-8399UNSPECIFIED
Geraedts, MaxUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-146201
DOI: 10.1136/bmjopen-2018-025945
Journal or Publication Title: BMJ Open
Volume: 9
Number: 1
Date: 2019
Publisher: BMJ PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 2044-6055
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PAY-FOR-PERFORMANCE; QUALITY; PROGRAM; SYSTEM; BENEFIT; IMPACTMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14620

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