Abstracts by key term: Case Management
When it comes to health matters, patients are anything but used to taking responsibility for themselves and their health. SGB V already emphasizes that they have shared responsibility and a duty to cooperate. However, it assigns the main responsibility to statutory health insurance. In the past, the traditional way of thinking in medicine often led to patients being seen as objects of medicine without their own responsibility (Schmid et al., page 14). In this context, the focus of care on acute, episodic and one-dimensional diseases is specifically mentioned, not least due to ever-increasing specializations (Müller-Mundt and Schaeffer, page 143).
05.10.2012
The effectiveness and efficiency of case management have been proven. The case management (CM) approach is a currently much-discussed advancement program in the human services sector. Can the self-imposed claim that the approach promises not only effectiveness but also efficiency, and that it can be used by a wide variety of professions, be fulfilled? Using the example of the KFH-Mainz and […]
23.09.2012
Scientific evaluation of a selective contractual cooperation model between a physician's office and a health insurance company. Patient support has been developed by Bosch BKK since 2005. Since 2007, it has been part of contracts with regional physician associations under Sections 73 and 140 of the German Social Code (SGB V). The purpose of these contracts is to provide intensive and holistic care for patients with high morbidity, as well as support […]
23.09.2012
Patient coaching as an innovative service in healthcare serves the purpose of promoting therapy adherence (compliance, adherence), active participation and self-management of patients in overcoming their illness, taking into account individual preferences. In this episode, examples are given of the efficiency reserves that can be expected from patient coaching compared to the effects of drug discount agreements, and that some health insurance companies have integrated patient coaching programs into their care management as pilot projects. A classification matrix is presented for more transparency of coaching programs. In addition, numerous open questions are addressed, which could be answered by appropriate health services research.
01.10.2009
Patient coaching as an innovative service in the healthcare system serves the purpose of promoting compliance, adherence, active participation and self-management of patients in coping with their illness, taking individual preferences into account. In this article, based on a definition of patient coaching, its necessity is derived from the high non-compliance or non-adherence rate, particularly among chronically ill and multimorbid patients. These are patients who require approximately 4/5 of all services provided by the health system. Compliance and adherence are described in terms of their importance as descriptive markers for the quality of patient cooperation in the treatment process. It should be noted that they should also be questioned with regard to their different causes (e.g. system-related, communication-related, individual/preference-related) so that a targeted and promising intervention can result in individual cases.
01.08.2009
Health management services are knowledge-based services. They can be used in different care settings and in different phases of the indication-specific disease progression. A distinction is made between selective, periodic to sequential and continuous HMS interventions. The instruments start with simple reminder or e-mail educational services (Infocept), lead through more data- and technology-driven call centers or risk assessments to personnel-intensive offers such as case or disease management programs. In the future, personal health coaching and behavior modification will become more important if you really want to achieve sustainability. The costs for HMS instruments and programs range between 5 euros and 2,000 euros per intervention or year. The benefit lies in improved medical outcomes. Financing can be provided by cost bearers, service providers, product providers, additional insurance or personal contributions.