Processes of admission and discharge management for patients before and after hospital stays
Conditions
Interventions
Group 1: Intervention group. The delivery of the intervention is influenced by different factors: on the one hand, it is important whether the hospital admission of the patient was planned or not. On
Sponsors
Universitätsklinikum HeidelbergAbteilung Allgemeinmedizin und Versorgungsforschung
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All patients aged 18 years and older and who are able to give their consent, who are insured with the sickness fund AOK Baden-Württemberg, who participate in GP-based care according to § 73b Social Code Book V and who are being admitted into or released from a hospital are eligible for study participation.
Exclusion criteria
Exclusion criteria: Patients residing in long-term care facilities are excluded from study participation because of organizational reasons since their care processes are influenced by different factors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of rehospitalizations due to the same indication within a time frame of three months to the outpatient sector | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. number of rehospitalizations due to the same indication within a time frame of 30 days (case consolidation) (Fallzusammenlegung) 2. number of hospitalizations due to ambulatory care-sensitive diagnoses 3. number of patients with discharge to the outpatient sector from a participating hospital where the continued prescription of medication is delayed 4. number of patients with discharge to the outpatient sector from a participating hospital where the continued prescription of non-medical remedies (Heilmittel) is delayed 5. number of patients with discharge to the outpatient sector from a participating hospital where the continued prescription of devices (Hilfsmittel) is delayed 6. number of patients after hospital discharge from a participating hospital who use emergency or rescue services within a time frame of three months 7. average care cost per year and HzV-insured person who is registered for the new care form 8. patient-reported experiences and health-related outcome of cross-sectoral care using the German version of the instrument Patients’ Experiences Across Health Care Sectors (PEACS) 9. health-related quality of life, using the instrument EuroQol (EQ-5D) | — |
Countries
Germany
Contacts
Public ContactJohanna Forstner
Universitätsklinikum HeidelbergAbteilung Allgemeinmedizin und Versorgungsforschung
Outcome results
None listed