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Z Evid Fortbild Qual Gesundhwes ; 110-111: 54-9, 2016.
Article in German | MEDLINE | ID: mdl-26875036

ABSTRACT

Regarding the effectiveness of disease management programs (DMPs) in Germany, several studies have been published on the DMP for type 2 diabetes. This pilot study provides methodological insights into evaluating the DMP for coronary heart disease (CHD), which currently includes 1.7 million participants, and reveals trends in healthcare outcomes for mortality, guideline adherent prescribing and costs. Major methodological challenges that need to be considered for the development of an appropriate matching method for this indication have been identified. The results show positive trends in favor of the DMP regarding mortality, costs and medication according to guidelines. A matching design is applicable to the CHD indication; the knowledge gained regarding the quality of care can be used for a targeted development of the program.


Subject(s)
Coronary Disease/therapy , Disease Management , Adult , Aged , Cardiovascular Agents/economics , Cardiovascular Agents/therapeutic use , Coronary Disease/economics , Coronary Disease/mortality , Cost-Benefit Analysis , Costs and Cost Analysis , Delivery of Health Care, Integrated/economics , Disability Evaluation , Female , Germany , Guideline Adherence/economics , Humans , Length of Stay/economics , Male , Matched-Pair Analysis , Middle Aged , National Health Programs/economics , Pilot Projects , Propensity Score , Treatment Outcome
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