Exploration of ambulant cardiological supply and process evaluation of the cardiology contract
- Conditions
- cardiological health services
- Registration Number
- DRKS00013070
- Lead Sponsor
- niversitätsklinikum Heidelberg, Abt. Allgemeinmedizin und Versorgungsforschung
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 236
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
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.
Study & Design
- Study Type
- observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Exploration:<br>- of the program's fidelity and potential mechanisms behind it<br>- of relevant context factors influencing the implementation and results of the FacharztProgramm<br>- of patient care, praticte structures and cooperation between renderers of service within and outside of the contracts<br><br>Measurement through a written basic questionnaire, qualitative, structured interviews and an expanded written questionnaire afterwards.
- Secondary Outcome Measures
Name Time Method Exploration:<br>- of motivation for participating or not participating in the FacharztProgramm<br>- of characteristics of participating patients from the doctors' point of view<br>- of characteristics of participating as well as non-participating cardiologists and general practitioners<br>- of positive as well as negative by-products of the FacharztProgramm from the doctors' point of view<br>- of strategies supporting the implementation of the FacharztProgramm<br>- of satisfaction of participating doctors with the FacharztProgramm<br><br>Measurement through a written basic questionnaire, qualitative, structured interviews and an expanded written questionnaire afterwards.<br>