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- Lyles L.F., Hildebrandt, H., Mair, A. (2020). Population Health Management Approach: Integration of Community-Based Pharmacists into Integrated Care Systems: Reflections from the U.S., Achievements in Scotland and Discussions in Germany. International Journal of Integrated Care, 2020; 20(2): 13, 1-9. Link
The annual amount spent on healthcare per capita is higher and expected to grow in the U.S. compared to healthier level 4 countries, while health outcomes continue to be suboptimal. Therefore, healthcare is slowly shifting from a fee-for-service to value-based care, which addresses social determinants of health, promotes outcome-based contracting and employs more Population Health Management (PHM) activities. The root cause for this shift has been the increase in patients’ out-of-pocket costs and the pervasiveness of poorer outcomes. PHM has been defined by many as a mindset and activities that support the Triple Aim Initiative (i.e., improving population health, experience of care, reducing costs). This article outlines the value of pharmacists on health outcomes in the U.S., Germany, and Scotland and innovative PHM approaches through pharmacist collaborative networks, polypharmacy management and pharmacists’ integration in care models.
- Lange, L., Pimperl, A., Schulte, T., Gröne, O., Tanke, M. (2020). Hochkostenversicherte in Deutschland: Leistungs- und Kostenprofile. In: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, Juni 2020, Elsevier. Link
Germany, like other developed countries, faces the challenge of developing and implementing suitable intervention approaches that address the specific requirements of persons with high-cost insurance. The aim of this article is to analyse the performance and cost profiles of high-cost insured persons, to draw international comparisons and to identify starting points for better management. The similarities between high-cost insured populations in Germany and other countries illustrate the need for international research and intervention approaches in this field.
- Wang SY, Groene O (2020) The effectiveness of behavioral economics-informed interventions on physician behavioral change: A systematic literature review. PLoS ONE 15(6): e0234149. Link
The integration of research evidence into clinical practice to ensure safe and effective patient care and reduce unnecessary costs is a challenge. Studies in the United States, the Netherlands and Canada have shown that 30% to 40% of patients do not receive care in line with relevant guidelines, and more than 20% of the care provided is unnecessary or potentially harmful. In the view of the role of doctors as key decision-makers in the healthcare sector, there is an increased focus on changing the behaviour of doctors. The authors systematically evaluate the existing literature on the use and effectiveness of interventions to change the behaviour of medical professionals.
- Geraedts, M., Mehl, C., Siegel, A., Graf, E., Stelzer, D., Farin-Glattacker, E., Ihle, P., Köster, I., Dröge, P., Günster, C., Haas, N., Gröne, O., Schubert, I. (2020). Entwicklung eines Indikatorensets zur Evaluation der Integrierten Versorgung Gesundes Kinzigtal / Development of an indicator set for the evaluation of the population-based integrated healthcare model ‘Gesundes Kinzigtal’ (Healthy Kinzigtal). In: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen. 2020 May 25. Link
The German Joint Federal Committee (Gemeinsamen Bundesausschuss, G-BA) innovation commission is funding the project “INTEGRAL – A 10-year evaluation of population-centric integrated health care in Kinzigtal" (with the German abbreviation IVGK) (grant code 01VSF16002). The assessment will be based on a set of indicators that can be extracted from routine data, which can be used to specifically evaluate the IVGK programme focusing on prevention and disease management. On the other hand, possible drawbacks of the IVGK scheme, which is set up as a “shared savings agreement”, will be examined by monitoring care needs that are not covered by the integrated care contract. As there is no accepted set of indicators for regional integrated care programmes yet, an appropriate set of indicators is to be developed.
- Ehmann, A.T., Gröne, O., Rieger, M.A., Siegel, A. (2020): The Relationship between Health Literacy, Quality of Life and, Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany. In: International Journal of Environmental Research and Public Health. No 17, Mar 2020. Link
Poor health literacy is associated with poor health and quality of life. The question here is whether a regional integrated health system, with management focused on encouraging and empowering its members in health matters can contribute to a higher level of health literacy in the general population. In a cross-sectional study, a random selection of members of an integrated care system in south-west Germany was surveyed. The standardised questionnaire included questions about health literacy and subjective health, among other topics.
- Ballester, M., Orrego, C., Heijmans, M., Alonso-Coello, P., Versteegh, MM., Mavridis, D., Groene, O., Immonen, K., Wagner, C., Canelo-Aybar, C., Sunol, R.(2020). Comparing the effectiveness and cost-effectiveness of self-management interventions in four high-priority chronic conditions in Europe (COMPAR-EU): a research protocol. In: BMJ Open. 2020 Jan 19. Link
The ageing of the population and the increasing burden of chronic diseases have raised interest in innovative care models. While self-management interventions are attracting increasing attention, evidence of their effectiveness mostly comes from meta-analyses, which are usually based on randomised controlled trials that compare an intervention with a control group. Therefore, there is a lack of relevant efficacy data to compare different self-management interventions that can be applied to specific chronic diseases. In this work, self-management interventions for four chronic conditions are examined.
- Stausberg, J., Maier, B., Bestehorn, K., Gothe, H., Groene, O., Jacke, C., Jänicke, M., Kostuj, T., Mathes, T., Niemeyer, A., Olbrich, K., Schmitt, J., Neugebauer, E. (2019). Memorandum Registry for Health Services Research: Update 2019. Gesundheitswesen. 2020 Feb 18. Link
Questions about health care in everyday life can be studied via registries. This makes them an essential method in health care research. The German Network for Health and Care Research (DNVF) promotes the quality of registries through scientific exchange, training courses and recommendations which take the form of a memorandum entitled “Registry for Health Care Research” (in German). These recommendations have been updated from the first version of the memorandum issued in 2010. The update describes the possible uses and purposes of registries in health care research, and surveys the current state of the art of all aspects of good design and proper maintenance of registries.
- Braithwaite, J., Clay-Williams, R., Taylor, N., Ting, HP., Winata, T., Arnolda, G., Sunol, R., Gröne, O., Wagner, C., Klazinga, NS., Donaldson, L., Dowton, SB (2019). Bending the quality curve. In: International Journal for Quality in Health Care. 2019 Dec 10, 1-7. Link
The DUQuA research project examines quality in 32 major hospitals across Australia. It is based, with suitable modifications and developments, on the “Deepening Our Understanding of Quality Improvement in Europe (DUQuE)” research programme which was published in 2014 as a supplement in the International Journal for Quality in Health Care. Among other things, the authors will present key data on Australia, the health of the population and the health system, as well as a selection of important interventional studies and existing political and institutional initiatives.
- Siegel, A., Ehmann, AT., Meyer, I., Gröne, O., Niebling, W., Martus, P., Rieger, MA. (2019). PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version). In: International Journal of Environmental Research and Public Health. 2019 Dec 3;16(23). Link
In its broadest sense, patient empowerment refers to the process or achievement of enabling patients to better assess and manage their health status, both as individuals and in the context of the doctor–patient relationship. It is an important objective of modern health policy. The aim of the study was to develop and conduct psychometric testing of a German-language survey tool that measures patients’ abilities generically and in more detail than existing instruments.
- Gröne, O., Sunol, R. (2019). Quality improvement is complex and contextual. In: BMJ. 2019 Oct 25. Link
The contribution is a response to Mary Dixon-Woods’ October 2019 essay, “How to improve healthcare improvement”. The authors’ commentary addresses other issues, including the important role of patient empowerment and joint efforts in improving healthcare quality.
- Kringos, DS., Groene, O., Johnsen, SP. (2019). Training the First Generation of Health Care Performance Intelligence Professionals in Europe and Canada. In: Acaddemic Medicine. 2019 Jun;94(6):747-748. Link
The article deals with the international training network for Healthcare Performance Intelligence Professionals (HealthPros). It aims to educate and train 13 international doctoral students in the field of “data science for health system performance assessment" as part of a specially developed training program. The students will be trained to master a range of required skills and interdisciplinary expertise that are not well covered in existing research and training programs.
Britta Horwege & Indra Rojahn, Corporate Communications OptiMedis