Case Management Program for Patients With Chronic Heart Failure.
Background: At 360 000 cases annually, heart failure is the most common main diagnosis in adults in German hospitals. Treating heart failure is expensive. This study tested whether patients in the case management program (CMP) 'CorBene--Better Care for Patients With Heart Failure' have a lower morta...
| Publicado en: | Deutsches Ärzteblatt International Vol. 111; no. 15; pp. 264 - 271 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
4/11/2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109667435&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109667435 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 4/11/2014 vid: 111 iid: 15 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 109667435 2012567391 10.3238/arztebl.2014.0264 109667435 ppf: 264 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Case Management Program for Patients With Chronic Heart Failure. aug: au: Hendricks, Verena Schmidt, Simone Vogt, Achim Gysan, Detlef Latz, Volker Schwang, Ines Griebenow, Reinhard Riedel, Rainer affil: Institute for Health-Economics & Health-Care Research, University of Applied Sciences, Cologne sug: ab: Background: At 360 000 cases annually, heart failure is the most common main diagnosis in adults in German hospitals. Treating heart failure is expensive. This study tested whether patients in the case management program (CMP) 'CorBene--Better Care for Patients With Heart Failure' have a lower mortality rate and lower hospital admission and readmission rates than patients receiving regular management. Methods: Routine data from a large German statutory health insurance company were analyzed. After propensity score matching, a total of 1202 patients (intervention group versus control group) were studied in relation to the endpoint 'hospital admission and readmission rate' and the variables 'annual physician contact rate,' 'mortality,' and 'inpatient treatment costs.' Results: The intervention group showed a lower rate of hospital admission/ readmission (6.2%/18.9% versus 16.6%/36.0%; p<0.0001 / p = 0.041). Mortality rates did not differ significantly (5.0% versus 6.7%; p = 0.217). Analysis of hospital admission data showed no significant differences between the groups in terms of length of hospital stay or costs for heart failure-related treatment per hospital stay. However, the average annual costs for inpatient treatment in the CMP group, at €222.22 per patient, were 67.5% lower than the equivalent costs in the control group (€683.88) (p<0.0001). Conclusion: Fewer patients in the intervention group were admitted and readmitted to hospital, and lower inpatient treatment costs were identified. The physician contact rate was higher than in the control group. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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