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Current Evaluation Studies

The evaluation of Gesundes Kinzigtal Integrated Care is organized into various evaluation studies (modules), with each study pursuing its own subset of basic research questions. Currently there are four evaluation studies. Three of them are financed by Gesundes Kinzigtal’s own evaluation budget whereas the fourth one is financed by external funds, namely by Germany’s Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung – BMBF). All four studies are outlined here.

The AGil study: Active health promotion in the elderly

Content and research question:
In the course of the AGil health promotion, senior members of Gesundes Kinzigtal Integrated Care (enrolled assureds of 60 years and older) become empowered with respect to healthy nutrition, regular physical exercise and an increased participation in social and public life. The evaluation investigates the effectiveness of the programme; furthermore, a cost-benefit analysis will be performed.

Evaluation performed by:
Prof. Dr. Olaf von dem Knesebeck & Prof. Dr. Alf Trojan
Uniklinikum Hamburg-Eppendorf, Medizinische Soziologie

Evaluation term:
October 2007 – December 2010

Evaluation financed by:
External funds (Federal Ministry of Eduction and Research – BMBF)

Evaluation Module I: Shared Decision-Making (SDM)

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”)?

Method:
Three-arm controlled quasi-experimental trial; four inquiries of patients are planned, with the first inquiry taking place in the initial phase of the Gesundes Kinzigtal project (2007); three follow-up inquires in 2008-10.

Evaluation is performed by:
Prof. Dr. Dr. Martin Härter
Universitätsklinikum Freiburg, Sektion Klinische Epidemiologie und Versorgungsforschung & Universitätsklinikum Hamburg-Eppendorf

Evaluation term:
April 2007 – December 2010

Evaluation is financed by:
Gesundes Kinzigtal evaluation budget

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

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”?

Method:

  • Population-based, quasi-experimental controlled trial;
  • data base: health insurers’ trans-sector administrative data;
  • baseline inquiry: data of 2004;
  • follow-up inquiries: data of years 2005-2011

Evaluation is performed by:
PMV forschungsgruppe an der Universität zu Köln
Frau Dr. Ingrid Schubert in Kooperation mit Prof. Dr. Holger Pfaff

Evaluation term:
October 2007 – March 2013

Evaluation is financed by:
Gesundes Kinzigtal evaluation budget

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

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 partner providers which is provided by sub-module IV-2. Here, i.e. in sub-module IV-2, Gesundes Kinzigtal’s partner providers are inquired as to their assessment of several implementation aspects of Gesundes Kinzigtal Integrated Care.

Coaching/evaluation is performed by:
Susanne Marx, Wiesbaden (sub-module IV-1) &
Dr. Matthias Nübling, Gesellschaft für empirische Beratung, Denzlingen (sub-module IV-2)

Term:
March 2008 – September 2010

Coaching/evaluation is financed by:
Gesundes Kinzigtal evaluation budget

 

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