Abstracts by key term: Self-management
Das deutsche Gesundheitssystem steht vor erheblichen finanziellen und strukturellen Herausforderungen, zu denen nichtübertragbare chronische Erkrankungen – insbesondere Typ-2-Diabetes mellitus (T2DM) – maßgeblich beitragen. Aktuell leben in Deutschland etwa 9,3 Mio. (diagnostizierte) Menschen mit T2DM, zusätzlich ist von etwa 2 Mio. bislang unentdeckten Fällen auszugehen. Die jährliche Inzidenz beträgt rund 450.000 Neuerkrankungen. T2DM macht 95% aller […]
05.10.2026
Background: One-third of the German population is affected by high blood pressure. Digital preventive interventions are particularly suitable for promoting a healthy lifestyle. The model project "AOK Heart Health Digital" was initiated to support patients with hypertension. Methods: The aim of the study (with three survey waves) was to identify factors from the participants' perspective that promote or inhibit the (long-term) use of such interventions. Results: Subjective self-management/disease management, general health status, and health literacy improved. Personal counseling, in particular, proved to be beneficial and motivating. Technical and motivational barriers were identified. Conclusion: The results show that personal components can significantly influence the success of digital interventions.
02.06.2025
This study addresses the topic of comprehensive healthcare provision through digital health. Using a case study, it examines the use of video consultations for pediatric emergency care in North Rhine-Westphalia. It analyzes technology use and patient satisfaction. Recommendations for optimizing healthcare provision are derived from this.
02.06.2025
MedicalContact AG's Casaplus geriatric training program has been offering telephone health coaching for multimorbid geriatric patients since 2007, and approximately 30,000 patients have already benefited from it. The critical success factors for such a program are the risk-based identification of suitable candidates, participant recruitment, and individualized support from specially trained medical professionals. Since 2017, the Casaplus program has been further developed in collaboration with the VIACTIV health insurance company and DCC Risikoanalytik GmbH to include AI-based components for both the prediction of modifiable risks during the identification process and the use of risk-adjusted propensity scores during the evaluation of smartCasaplus coaching. The current evaluation results from the VIACTIV health insurance company show that, taking into account allocation effects and program costs, an average return on investment of 1.7 was achieved over the first four program years.
02.02.2024
40 years ago, the WHO declared that at least 50 percent of diabetes cases worldwide could be prevented and - as can be read in the Diabetes Health Report 2013 (1, p. 23) - called for actions to prevent this disease. However, the call received little attention back then - much like it does today. Over these many years, the German healthcare system has invested billions to care for people with this disease. According to the CODE-2 study (2), the costs caused by patients with type 2 diabetes in Germany amounted to around 15.7 million euros in 1998 - which has since extrapolated to many hundreds of billions of euros. But: Despite this immense investment, why are there still deficits in diabetic care as one of the most cost-intensive chronic diseases? It is reasonable to assume that the fundamental problem of almost all “non-communicable diseases” - enabling the people affected to self-manage and motivating lifestyle changes - cannot be overcome with the current acute care approach alone.
24.01.2013
More than half of all German citizens over the age of 14 (55 % and therefore 39 million German citizens) own a smartphone (BITKOM 2014), on which an average of up to 23 application programs (apps) are installed (BITKOM 2012). The popularity shown by these numbers offers – also for statutory health insurance companies (GKVn) – new opportunities for reaching target groups in a wide variety of areas, from primary prevention to diabetes management. But if GKVn want to use apps, for example, to fulfill their legal obligation to provide health information and advice (Section 1 SGB V), they have to take a few things into account in the highly sensitive health market.
24.01.2013
The patient empowerment approach to training chronically ill people aims to help patients gain more autonomy in the care of their illness and improve their self-management skills. Based on this philosophy, the European Health Care Foundation has developed a training and care concept for healthcare professionals and chronically ill people. The core is a training portal for standardized coach training and care for patients with type 2 diabetes. The training concept was tested in a multicenter prospective study in German pharmacies. The Caoches and the patients rated the training material as good or very good, patients were able to manage their illness better through the training and 70% of the diabetes patients improved their HbA1c value by a mean of 0.7%
01.04.2010
A one-year pilot project commissioned by a German company health insurance company determined the medical, psychological and economic effects of telephone-based patient coaching. There was a lasting effect on the participants' quality of life and disease-specific risk factors. The hospitalization rate fell by over 60 % compared to the previous year of care. This resulted in a cost reduction in service expenditure in the inpatient area by 68 %, and the total costs per patient were reduced by 61 %. Through targeted information and motivation, patients are sustainably enabled to better self-manage their illness and to implement a health-promoting lifestyle. Patient coaching is a targeted instrument for achieving greater quality and efficiency in patient care.
01.04.2010
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.