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Calls for Evaluation

Until now three evaluation studies have been called for and eventually assigned to three research groups. These three studies (modules) are:

Module I: Shared Decision-Making (SDM)

Content / Research question:

Research question: Module I investigates the following research question: Does a Kinzigtal type integrated care system lead to a to a higher degree of patients’ perceived participation in shared decision-making, to less decisional conflict in patients, and to a higher satisfaction of patients with the quality of care (compared with “normal care”)?

Module II: Identification and Reduction of Over-, Under- and Misuse of Health Services (OUM) – Evaluation through an Analysis of Health Insurers’ Administrative Data

Content / Research question:

Research question: Does Gesundes Kinzigtal Integrated Care lead to
(a) a reduced incidence and prevalence of diseases, in particular chronic diseases?
(b) a different – more rational – utilisation of health services?
(c) a comparative reduction of over-, under-, and misuse of health services (with respect to selected service quality indicators) compared with “normal care”?

Module IV: Coaching of Gesundes Kinzigtal executives (sub-module IV-1) and process evaluation from providers’ perspective (sub-module IV-2)

Content / Research question:

Module IV consists of two sub-modules: In sub-module IV-1, the executives of Gesundes Kinzigtal Integrated Care (including the responsible executives of health insurers AOK BW and LKK BW) participate in a series of group coaching sessions in which issues of inter- as well as intra-organizational cooperation and communication are discussed. Furthermore, the coaching sessions attempt to evaluate and incorporate the feedback from Gesundes Kinzigtal’s partner providers; this feedback is provided by sub-module IV-2. The latter is conducted as a process evaluation from providers’ perspective: Gesundes Kinzigtal’s partner providers are inquired as to their assessment of several aspects of Gesundes Kinzigtal Integrated Care including structure, implementation process and outlook of the integrated care system.

Further topics of future evaluation studies:

Further studies shall focus on the evaluation of Gesundes Kinzigtal’s preventive programmes such as

  1. Smoking cessation in the Kinzigtal region: Effectiveness and efficiency.
    (More information on Gesundes Kinzigtal’s smoking cessation programme)
  2. Lifestyle intervention in patients with metabolic syndrome / prevention of diabetes.
    (More information on Gesundes Kinzigtal’s programme “Gesundes Gewicht”)
  3. Further preventive programmes (such as, e.g., prevention of osteoporosis).
    (More information on Gesundes Kinzigtal’s programme “Starke Muskeln, feste Knochen)
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