cardiological health services
Conditions
Interventions
Group 1: General practitioners and cardiologists who participate in the "Hausarztzentrierte Versorgung" or the "FacharztProgramm Kardiologie" are interviewed (quantitatively and qualitatively) regardi
Sponsors
Universitätsklinikum Heidelberg, Abt. Allgemeinmedizin und Versorgungsforschung
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Stage 1 (qualitative-explorative): - Cardiologists participating in the FacharztProgramm Kardiologie: the doctors need to be specialists in internal medicine with or without cardiology as a core area. They furthermore need to participate in the FacharztProgramm according to § 73c SGB V either as a single medical practitioner or as an ambulatory healthcare center. - Cardiologists not participating in the FacharztProgramm Kardiologie: the doctors need to be specialists in internal medicine with or without cardiology as a core area. They must not participate in the FacharztProgramm according to § 73c SGB V. - General practitioners participating in the hausarztzentrierte Versorgung and cooperating with the FacharztProgramm Kardiologie: the general practitioners need to be practice-based and enrolled in the HzV-contract of the AOK Baden-Württemberg as well as the general practitioner’s contract of the Bosch BKK. Furthermore, they need to cooperate with the FacharztProgramm according to § 73c SGB V. - General practitioners not participating in the hausarztzentrierte Versorgung and not cooperating with the FacharztProgramm Kardiologie: the general practitioners need to be practice-based and must not be enrolled in the HzV-contract of the AOK Baden-Württemberg and/or as the general practitioner’s contract of the Bosch BKK. Therefore, they must also not cooperate with the FacharztProgramm according to § 73c SGB V. - Stakeholders: stakeholders will be recruited within the institutions of the contract parties (AOK Baden-Württemberg, Bosch BKK, MEDIVERBUND, BNK, BNFI) as well as the Association of SHI Physicians in Baden-Württemberg (KVBW), the German Association of General Practitioners Baden-Württemberg and the General Practitioners’ Contractual Community AG (HÄVG). Stakeholders are persons who were actively involved in the development and execution of the FacharztProgramm Kardiologie and/or who have extensive background knowledge at their disposal. They need to be at least 18 years old. Stage 2 (quantitative): - Cardiologists participating in the FacharztProgramm Kardiologie: the doctors need to be specialists in internal medicine with or without cardiology as a core area. They furthermore need to participate in the FacharztProgramm according to § 73c SGB V either as a single medical practitioner or as an ambulatory healthcare center. All specialists enrolled in the FacharztProgramm within Baden-Württemberg who are practice-based and active in the field of cardiology will be invited to participate in the study. - General practitioners participating in the hausarztzentrierte Versorgung and cooperating with the FacharztProgramm Kardiologie: the general practitioners need to be practice-based and enrolled in the HzV-contract of the AOK Baden-Württemberg as well as the general practitioner’s contract of the Bosch BKK. Furthermore, they need to cooperate with the FacharztProgramm according to § 73c SGB V. A random sample of 300 general practitioners enrolled in the HZV will be invited to participate in the study. - Cardiologists not participating in the FacharztProgramm Kardiologie: the doctors need to be specialists in internal medicine with or without cardiology as a core area. They furthermore must not participate in the FacharztProgramm according to § 73c SGB V. A random sample with a maximum of 100 specialists not enrolled in the FacharztProgramm within Baden-Württemberg who are practice-based and active in the field of cardiology wil
Exclusion criteria
Exclusion criteria: Cardiologists or general practitioners who are not practice-based and do not have their licence, SHI physician's place of business and main establishment within Baden-Württemberg. Furthermore, unsufficient knowledge of the German language is a criterion for exclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exploration: - of the program's fidelity and potential mechanisms behind it - of relevant context factors influencing the implementation and results of the FacharztProgramm - of patient care, praticte structures and cooperation between renderers of service within and outside of the contracts Measurement through a written basic questionnaire, qualitative, structured interviews and an expanded written questionnaire afterwards. | — |
Secondary
| Measure | Time frame |
|---|---|
| Exploration: - of motivation for participating or not participating in the FacharztProgramm - of characteristics of participating patients from the doctors' point of view - of characteristics of participating as well as non-participating cardiologists and general practitioners - of positive as well as negative by-products of the FacharztProgramm from the doctors' point of view - of strategies supporting the implementation of the FacharztProgramm - of satisfaction of participating doctors with the FacharztProgramm Measurement through a written basic questionnaire, qualitative, structured interviews and an expanded written questionnaire afterwards. | — |
Countries
Germany
Contacts
Public ContactPatrick Hennrich
Universitätsklinikum Heidelberg, Abt. Allgemeinmedizin und Versorgungsforschung
Outcome results
None listed