Accountable Care in Germany

Phase 4

Recruiting

Conditions: Phlebitis and thrombophlebitis
Ambulatory care senstive conditions with high prevalence and interdisciplinary treatmentI20, I25I21, I22, I23, I24 I50I05, I06, I07, I09, I08, I49, I48, I67, I70, I73, I78, I80, I83, I86, I87, I95, R00, I42, I74J20, J21, J22, J40, J41, J42, J43J44, J47F10, F11M42, M47, M53, M54, M50, M51I10-I15K52, K57, K58, K59A00 - A09J10, J11, J13, J14, J15, J16, J18, J12H66, J01-J03, J06, J31, J32, J35, H65, H73, J04, R07.0F32, F33E10, E11, E13, E14, E16M17
I50
I78
I20-I25
I05-I09
I48
I70
I80
J42

Registration Number: DRKS00020884

Lead Sponsor: Fachbereich Health Services Management - Ludwig-Maximilians-Universität München

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 6481

Inclusion Criteria

A total of 6.481 physicians which are part of one of the 100 intervention networks are recruited. The physician networks were constructed based on physician-patient visits based on routine data of patients with the above mentioned diseases. Networks were cluster-randomized based on region, rural/urban area, size of the network.

Networks: consisting of 20-120 physicians, working in one of the 4 physician association regions. 100 intervention, 100 controllnetworks

Physicians: Identified in an intervention / control network, practicing in one of the 4 defined regions

Patients: Insurees in one of the participating insurances (AOK Rheinland-Hamburg / AOK Nordwest / TK), living in the intervention region, at least one diagnosis of the above mentioned ambulatory care sensitive conditions

Exclusion Criteria

Participants: patients in a dialysis treatment

Physicians: Pediatricians incl. Pediatric disciplines, laboratory medicine, microbiology, virology and infection epidemiology, maxillofacial surgeons, pathology, radiology, neuroradiology, radiation therapy, transfusion medicine, child and adolescent psychotherapist

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Ambulatory care senstive hospitalizations due to the above mentioned conditions<br><br>These Hospital cases are derived from routine data of two Major Health insurance funds prior to the Intervention as well as until end of 2019. <br><br>Cases of ambulatory care sensitive conditions are analysed using multilevel models and an Intention to treat approah.

Secondary Outcome Measures

Name	Time	Method
The secondary outcomes are indicators of the proportion of guideline-based treatments and acceptance among service providers.<br><br>Indicators of Guideline-based Treatments are derived in Routine data of the two Major Health insurance funds. Data is available Prior to the intervetion and during the Intervention until the end of 2019. <br><br>Acceptance among providers is analysed based on a process Evaluation encluding interviews and questinnaires. Moderators receive questionnaires in the moderator Training. Furthermore, questionnaires are filled out by Moderators and participants of the Network Meetings after the Network Meetings. Additionally, Moderators and participants of the Network Meetings are interviewed to assess their acceptance of the Meetings.