Universität zu Köln

Hildebrandt, Helmut, Pimperl, Alexander, Schulte, Timo, Hermann, Christopher, Riedel, Harald, Schubert, Ingrid, Koester, Ingrid, Siegel, Achim and Wetzel, Martin (2015). Pursuing the triple aim: evaluation of the integrated care system Gesundes Kinzigtal: population health, patient experience and cost-effectiveness. Bundesgesundheitsblatt-Gesund., 58 (4-5). S. 383 - 393. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

The integrated care system Gesundes Kinzigtal (ICSGK), one of the most comprehensive population-based ICS in Germany, started its work nearly 9 years ago. The ICSGK is pursuing the Triple Aim: improving the health of the population, improving the individual's experience of care, and at the same time reducing the per capita costs of care. To evaluate the impact of the ICSGK on the Triple Aim. The ICSGK is being evaluated externally and internally via a mix of diverse quantitative and qualitative methods. This paper presents selected results for each Triple Aim dimension. Regarding population health, most of the quality indicators examined by the external scientific evaluation show positive development. For example, the prevalence of patients with fractures among all insurants with osteoporosis is presented. In 2011, this prevalence was approximately 26 % in the Kinzigtal population (aged a parts per thousand yenaEuro parts per thousand 20 years old) in comparison to 33 % in the control group. As far as patient experience is concerned, to the question Would you recommend becoming a member of Gesundes Kinzigtal to your friends or relatives? 92.1 % of those questioned answered Yes, for sure or Yes, probably. Twenty-four percent of those questioned further stated that they would now live more healthy than before enrolment in the ICSGK. In the subgroup of questioned insurants who had objective agreements with their doctors 45.4 % answered in this way. On the subject of cost-effectiveness, for both participating socil health insurance schemes, cost savings relative to the costs normally expected for the ICSGK population concerned are observed every year. In the seventh intervention year (2012) the total is 4.56 million Euros for the AOK Baden-Wurttemberg (BW), which is a contribution margin of 146 Euros per insurant for the 31.156 insurants concerned (LKK BW = 322 Euros per insurant relative to cost savings). The results presented in this paper indicate positive effects in all three Triple Aim dimensions. Further longitudinal studies are recommended to validate those first results together with a detailed analysis to obtain in-depth insights into the specific influence of subcomponents of the total intervention.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hildebrandt, Helmut UNSPECIFIED UNSPECIFIED UNSPECIFIED Pimperl, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulte, Timo UNSPECIFIED UNSPECIFIED UNSPECIFIED Hermann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Riedel, Harald UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Koester, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Siegel, Achim UNSPECIFIED UNSPECIFIED UNSPECIFIED Wetzel, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-408000
DOI:	10.1007/s00103-015-2120-y
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	58
Number:	4-5
Page Range:	S. 383 - 393
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GERMANY; OSTEOPOROSIS Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40800