Universität zu Köln

Wiethege, J., Ommen, O., Ernstmann, N. and Pfaff, H. (2010). Transparency as a Prerequisite of Innovation in Health Services Research: Deficits in the Reporting of Model Projects Concerning Managed Care. Gesundheitswesen, 72 (10). S. 722 - 729. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4421

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Abstract

Aim: Currently, elements of managed care are being implemented in the German health-care system. The legal basis for these innovations are 140, 73, 137, and 63 et seq. of the German Social Code - Part 5 (SGB V). For the model projects according to 63 et seq. of the German Social Code a scientific evaluation and publication of the evaluation results is mandatory. The present study examines the status of evaluation of German model projects. Methods: The present study has a mixed method design: A mail and telephone survey with the German Federal Social Insurance Authority, the health insurance funds, and the regional Associations of Statutory Health Insurance Physicians has been conducted. Furthermore, an internet research on Medpilot and Google has been accomplished to search for model projects and their evaluation reports. Results: 34 model projects met the inclusion criteria. 13 of these projects had been terminated up to 30/9/2008. 6 of them have published an evaluation report. 4 model projects have published substantial documents. One model project in progress has published a meaningful interim report. 12 model projects failed to give information concerning the evaluator or the duration of the model projects. Implications: The results show a significant deficit in the mandatory reporting of the evaluation of model projects in Germany. There is a need for action for the legislator and the health insurance funds in terms of promoting the evaluation and the publication of the results. The institutions evaluating the model projects should obligate themselves to publish the evaluation results. The publication is an essential precondition for the development of managed care structures in the health-care system and in the development of scientific evaluation methods.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wiethege, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ommen, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-495606
DOI:	10.1055/s-0029-1239567
Journal or Publication Title:	Gesundheitswesen
Volume:	72
Number:	10
Page Range:	S. 722 - 729
Date:	2010
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4421
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49560