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People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study
BACKGROUND: With demographic change, the number of noncommunicable diseases, chronic diseases and multimorbidity is increasing, and so is the demand for health services. This represents a further challenge for the healthcare system. An adequate and efficient treatment of multimorbid patients require...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153233/ https://www.ncbi.nlm.nih.gov/pubmed/32284047 http://dx.doi.org/10.1186/s12913-020-05178-6 |
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author | Richter, Simone Demirer, Ibrahim Choi, Kyung-Eun Hartrampf, Johannes Pfaff, Holger Karbach, Ute |
author_facet | Richter, Simone Demirer, Ibrahim Choi, Kyung-Eun Hartrampf, Johannes Pfaff, Holger Karbach, Ute |
author_sort | Richter, Simone |
collection | PubMed |
description | BACKGROUND: With demographic change, the number of noncommunicable diseases, chronic diseases and multimorbidity is increasing, and so is the demand for health services. This represents a further challenge for the healthcare system. An adequate and efficient treatment of multimorbid patients requires a well-structured, informed and cross-indicated treatment. Therefore, a new form of coordinated, managed and cross-sectoral care for multimorbid patients - the “MamBo” care model - has been developed. Along with the implementation of MamBo, a process and outcome evaluation will be carried out, which is described in this study protocol. The aim of the study is to evaluate the care model according to its implementation process and effectiveness. METHODS: The MamBo-care model will be evaluated in multi-perspective terms. Thus, a process and outcome evaluation with several data sources will be conducted: (1) Annual focus groups and individual interviews with those involved in the process. (2) Various primary data, including surveys of patients, physicians and practice staff at the time of enrolment and 1 year later to enable pre-post comparison. (3) Claim data from the health insurance of the MamBo population in comparison to a comparative population, formed by the propensity score matching method. (4) Process data of the care management. The analysis of qualitative data will be carried out by content analysis according to Mayring. For the analysis of the quantitative data, multivariate analyses are planned. DISCUSSION: A new form of coordinated care has been introduced to improve intersectoral care of multimorbid patients and reduce the workload on physicians. The effects of the MamBo care model are being investigated for patients, physicians and the cost units. The results will form the basis for the decision whether the care model should be transferred to standard care and what needs to be taken into account for implementation. TRIAL REGISTRATION: The study was retrospectively registered in the German Register for Clinical Studies (DRKS00014047) on June 28, 2019. |
format | Online Article Text |
id | pubmed-7153233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71532332020-04-19 People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study Richter, Simone Demirer, Ibrahim Choi, Kyung-Eun Hartrampf, Johannes Pfaff, Holger Karbach, Ute BMC Health Serv Res Study Protocol BACKGROUND: With demographic change, the number of noncommunicable diseases, chronic diseases and multimorbidity is increasing, and so is the demand for health services. This represents a further challenge for the healthcare system. An adequate and efficient treatment of multimorbid patients requires a well-structured, informed and cross-indicated treatment. Therefore, a new form of coordinated, managed and cross-sectoral care for multimorbid patients - the “MamBo” care model - has been developed. Along with the implementation of MamBo, a process and outcome evaluation will be carried out, which is described in this study protocol. The aim of the study is to evaluate the care model according to its implementation process and effectiveness. METHODS: The MamBo-care model will be evaluated in multi-perspective terms. Thus, a process and outcome evaluation with several data sources will be conducted: (1) Annual focus groups and individual interviews with those involved in the process. (2) Various primary data, including surveys of patients, physicians and practice staff at the time of enrolment and 1 year later to enable pre-post comparison. (3) Claim data from the health insurance of the MamBo population in comparison to a comparative population, formed by the propensity score matching method. (4) Process data of the care management. The analysis of qualitative data will be carried out by content analysis according to Mayring. For the analysis of the quantitative data, multivariate analyses are planned. DISCUSSION: A new form of coordinated care has been introduced to improve intersectoral care of multimorbid patients and reduce the workload on physicians. The effects of the MamBo care model are being investigated for patients, physicians and the cost units. The results will form the basis for the decision whether the care model should be transferred to standard care and what needs to be taken into account for implementation. TRIAL REGISTRATION: The study was retrospectively registered in the German Register for Clinical Studies (DRKS00014047) on June 28, 2019. BioMed Central 2020-04-13 /pmc/articles/PMC7153233/ /pubmed/32284047 http://dx.doi.org/10.1186/s12913-020-05178-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Richter, Simone Demirer, Ibrahim Choi, Kyung-Eun Hartrampf, Johannes Pfaff, Holger Karbach, Ute People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title | People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title_full | People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title_fullStr | People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title_full_unstemmed | People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title_short | People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) – protocol for a multiperspective evaluation study |
title_sort | people with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (mambo) – protocol for a multiperspective evaluation study |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153233/ https://www.ncbi.nlm.nih.gov/pubmed/32284047 http://dx.doi.org/10.1186/s12913-020-05178-6 |
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