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smartCasaplus – ein risikobasiertes geriatrisches Gesundheitscoaching für multimorbide Versicherte smartCasaplus - 针对多病投保人的基于风险的老年健康指导计划
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2582
Prof. Dr. rer. pol. Stephan Burger, Prof. Dr.-Ing. Thomas Peter Zahn, Markus M. Müller MA
{"title":"smartCasaplus – ein risikobasiertes geriatrisches Gesundheitscoaching für multimorbide Versicherte","authors":"Prof. Dr. rer. pol. Stephan Burger, Prof. Dr.-Ing. Thomas Peter Zahn, Markus M. Müller MA","doi":"10.24945/mvf.01.24.1866-0533.2582","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2582","url":null,"abstract":"The geriatric coaching program Casaplus of Medical Contact AG offers health coaching for multimorbid geriatric patients since 2007. Since then, around 30,000 patients have benefited from individual coaching. The critical success factors for geriatric coaching are the risk-based identification of candidates with high and impactable escalation risk as well as the recruitment and coaching of participants by specifically trained specialists. Together with VIACTIV and DCC Risk Analytics, the smartCasaplus program has been improved to include AI-based models in the prediction of influenceable risks for identi-fication and risk-adjusted propensity scores matching during evaluation. Actual results of the VIACTIV program evaluation show a significant return on investment of 1.7 dur-ing the first 4 program years","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Die Pandemie systemisch betrachtet 从系统角度看待大流行病
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2575
Prof. Dr. med. Dr. phil. Dr. rer. pol Felix Tretter
{"title":"Die Pandemie systemisch betrachtet","authors":"Prof. Dr. med. Dr. phil. Dr. rer. pol Felix Tretter","doi":"10.24945/mvf.01.24.1866-0533.2575","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2575","url":null,"abstract":"Die Corona-Pandemie verläuft in Wellen, und es gibt lokale Hotspots. Diese Merkmale von Strömungen, ihre Variation und Identität, sind Gegenstand der Physik, was sie anscheinend zur Pandemieforschung befähigt. Doch zur Analyse von heterogenen Systemen passt die Systemwissenschaft besser.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"115 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Natürliche Experimente zur Beurteilung der Effektivität von Covid-19-Eindämmungs- maßnahmen 评估 Covid-19 遏制措施有效性的自然实验
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2580
Dr. rer. nat. Dipl.-Geogr. Thomas Wieland
{"title":"Natürliche Experimente zur Beurteilung der Effektivität von Covid-19-Eindämmungs- maßnahmen","authors":"Dr. rer. nat. Dipl.-Geogr. Thomas Wieland","doi":"10.24945/mvf.01.24.1866-0533.2580","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2580","url":null,"abstract":"To assess the effectiveness of non-pharmaceutical interventions (NPIs) in controlling infections during the Covid-19 pandemic, natural experiments are useful. This article introduces the principle of natural experiments and their statistical analysis and, in the first step, discusses their implementation in previous NPI studies. The validity of many studies on the effectiveness of NPIs is limited because, on the one hand, there are often no or only weak control conditions and, on the other hand, because there are problems in the specification of the analysis models. It is often implicitly assumed that only NPIs can slow down the infection process because there are no control variables for any other causes. In the second step, a natural experiment is analyzed about the effectiveness of five measures in the second Corona wave. Switzerland (where these measures were not taken) and neighboring Baden-Württemberg serve as comparison regions. It turns out that the closure of close-contact services causes a reduction in the effective reproduction number, i.e., dampens the wave of infections. However, closing schools and daycare facilities as well as hotels is not effective.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kinderarzneimittel und Besonderheiten von pädiatrischen Studien im AMNOG AMNOG 中的儿科医药产品和儿科研究的特点
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2577
Dr. PH Andrej Rasch
{"title":"Kinderarzneimittel und Besonderheiten von pädiatrischen Studien im AMNOG","authors":"Dr. PH Andrej Rasch","doi":"10.24945/mvf.01.24.1866-0533.2577","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2577","url":null,"abstract":"The development and accessibility of paediatric medicinal products are subject to special support and regulation in the EU. As part of market access, new medicinal products undergo a benefit assessment in accordance with Section 35a SGB V after the German Act on the Reform of the Market for Medicinal Products (AMNOG) came into force in 2011. The additional benefit is assessed by the Federal Joint Committee (G-BA), after which the reimbursement amounts are negotiated with the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband). Drugs that are given a new area of application are also subject to benefit assessment. These include extensions of the indication for paediatric patients. Medicinal products with a so-called PUMA authorisation (Paediatric Use Marketing Authorisation) are also affected by the AMNOG. The practical experience to date with the AMNOG benefit assessment for medicinal products with such authorisations is described below. The focus here is particularly on taking into account the special features of conducting paediatric clinical trials.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"132 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
„Rücken“ kostet pro Jahr 11,6 Milliarden Euro "返回 "每年花费 116 亿欧元
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2573
P. Stegmaier
{"title":"„Rücken“ kostet pro Jahr 11,6 Milliarden Euro","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2573","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2573","url":null,"abstract":"The Health Atlas editions of the Scientific Institute of the AOK (WIdO), which have been published annually since 2019, make the health situation of all residents in Germany‘s 400 districts and cities transparent. The current edition of the Health Atlas, published at the end of 2023, focuses on the topic of back pain and its prevalence in the German population. The report also focuses on causes, consequences, prevention options and consequences for the healthcare system.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Die Pandemie systemisch betrachtet 从系统角度看待大流行病
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2575
Prof. Dr. med. Dr. phil. Dr. rer. pol Felix Tretter
{"title":"Die Pandemie systemisch betrachtet","authors":"Prof. Dr. med. Dr. phil. Dr. rer. pol Felix Tretter","doi":"10.24945/mvf.01.24.1866-0533.2575","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2575","url":null,"abstract":"Die Corona-Pandemie verläuft in Wellen, und es gibt lokale Hotspots. Diese Merkmale von Strömungen, ihre Variation und Identität, sind Gegenstand der Physik, was sie anscheinend zur Pandemieforschung befähigt. Doch zur Analyse von heterogenen Systemen passt die Systemwissenschaft besser.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"62 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
„Aus unseren Fehlern lernen und besser machen“ "从错误中吸取教训，做得更好
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2571
P. Stegmaier
{"title":"„Aus unseren Fehlern lernen und besser machen“","authors":"P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2571","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2571","url":null,"abstract":"Which of the German corona measures were good, which were bad? What can we learn from the years 2020 to 2022 for future pandemics and other potential crisis situations? These were the key questions posed by MVF editor Prof Dr Reinhold Roski at the start of the MVF Congress ‚Pandemic impact on healthcare‘, the first part of which took place online in December 2023. After the opening statement by Sabine Dittmar MdB, Parliamentary State Secretary at the Federal Ministry of Health, who spoke about the ‚Corona impact on healthcare policy‘, Prof Dr Bertram Häussler, IGES Director and key idea generator of the congress, presented a somewhat different view of the political reality in his lecture ‚Effects of the corona pandemic - an overview‘. A view shared by Prof Dr Matthias Schrappe, University of Cologne, who was not stingy with constructive criticism in his presentation ‚Politics: fear instead of information?‘. The aim of the ‚Monitor Versorgungsforschung‘ congress was precisely not to apportion blame, but to analyse what can not only be learned from the Covid-19 event of the century for the German healthcare system, but what must be learned for future crises of the same or a completely different kind.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"30 S13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lehren aus hygienisch-medizinischer Sicht 从卫生和医学角度汲取的经验教训
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2576
Prof. em. Dr. med. Dr. h.c. Martin Exner, Dr. Peter Walger
{"title":"Lehren aus hygienisch-medizinischer Sicht","authors":"Prof. em. Dr. med. Dr. h.c. Martin Exner, Dr. Peter Walger","doi":"10.24945/mvf.01.24.1866-0533.2576","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2576","url":null,"abstract":"The basic premise of preventive health protection through hygiene and infection medicine is to always design corresponding concepts taking into account proportionality and the societal and social consequences (no infection-preventive tunnel vision). It remains inexplicable why, at the beginning of the pandemic, political crisis management decided not to draw on the quality of the preliminary work of the pandemic plan, which was last updated in 2017, and the expertise of preventive health protection experts from the fields of hygiene and infection medicine.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"81 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Zunahme von Infektionen der oberen Atemwege nach der Covid-19-Pandemie Covid-19 大流行后上呼吸道感染增加
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2581
Prof. Dr. rer. med. Karel Kostev, Dr. rer. nat. Wolfgang Plendl, Dipl.-Biol. Sabine Kluge MS, Prof. Dr. med. Christian Tanislav
{"title":"Zunahme von Infektionen der oberen Atemwege nach der Covid-19-Pandemie","authors":"Prof. Dr. rer. med. Karel Kostev, Dr. rer. nat. Wolfgang Plendl, Dipl.-Biol. Sabine Kluge MS, Prof. Dr. med. Christian Tanislav","doi":"10.24945/mvf.01.24.1866-0533.2581","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2581","url":null,"abstract":"This cross-sectional study evaluated the number of patients with a diagnosis of upper respiratory tract infections (URTI) and with antibiotic prescriptions from the Disease Analyzer database (IQVIA) between January 2019 and December 2022. The number of patients with UTRI diagnoses and antibiotic prescriptions per practice and the duration of sick leave per patient were compared over time. A total of 1,403,907 patients from general practices (GP) were included, 48% of whom were female. The number of URTI patients per practice was significantly higher in 2022 than in 2019 (732 vs. 464, 58%, p<0.001) and this was observed for both women (56%, p<0.001) and men (60%, p<0.001). The post-pandemic increase in the number of URTI diagnoses correlated with age and was highest in the age group between 18–30 years (22%, p<0.001) and lowest in older patients >70 years (3%). Both the number of patients per practice on sick leave due to URTI (184 vs. 92) and the average duration of sick leave (+2 days) increased from 2019 to 2022. Our data suggest a dramatic increase in the incidence of URTI among all demographic subgroups in Germany between 2019 and 2022, which was associated with a tremendous impact on socioeconomic variables such as the frequency or duration of sick leave. These data could be of great importance in current pandemic management and the management of future pandemics.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"51 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139869459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
„Eine Allianz der evidenzbasiert Entscheidenden gegen Populismus“ "反对民粹主义的循证决策者联盟"
Monitor Versorgungsforschung Pub Date : 2024-02-02 DOI: 10.24945/mvf.01.24.1866-0533.2570
Prof. Josef Hecken, P. D. W. Hoffmann, P. Stegmaier
{"title":"„Eine Allianz der evidenzbasiert Entscheidenden gegen Populismus“","authors":"Prof. Josef Hecken, P. D. W. Hoffmann, P. Stegmaier","doi":"10.24945/mvf.01.24.1866-0533.2570","DOIUrl":"https://doi.org/10.24945/mvf.01.24.1866-0533.2570","url":null,"abstract":"In a double cover interview at the start of 2024 with ‚Monitor Health Services Research‘, Prof Josef Hecken, the impartial chairman of the Federal Joint Committee (G-BA), and Prof Wolfgang Hoffmann, Chairman of the German Network for Health Services Research (DNVF), discuss the future role, significance and position of health services research, which has now come of age. The more frequently its results are incorporated into far-reaching political decision-making processes - such as the current federal hospital reform - the more headwinds are blowing against it. Health services research must learn to deal with this.","PeriodicalId":486737,"journal":{"name":"Monitor Versorgungsforschung","volume":"63 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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