INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design
Introduction: The crowding of emergency departments (ED) has been a growing problem for years, putting the care of critically ill patients increasingly at risk. The INDEED project's overall aim is to get a better understanding of ED utilization and to evaluate corresponding primary health care...
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Frontiers Media S.A.
2021-04-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.616857/full |
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doaj-047ce87b8a5d4109869c04939cfc5b6c |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antje Fischer-Rosinský Anna Slagman Ryan King Thomas Reinhold Liane Schenk Felix Greiner Dominik von Stillfried Grit Zimmermann Christian Lüpkes Christian Günster Natalie Baier Natalie Baier Cornelia Henschke Cornelia Henschke Stephanie Roll Thomas Keil Thomas Keil Thomas Keil Martin Möckel |
spellingShingle |
Antje Fischer-Rosinský Anna Slagman Ryan King Thomas Reinhold Liane Schenk Felix Greiner Dominik von Stillfried Grit Zimmermann Christian Lüpkes Christian Günster Natalie Baier Natalie Baier Cornelia Henschke Cornelia Henschke Stephanie Roll Thomas Keil Thomas Keil Thomas Keil Martin Möckel INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design Frontiers in Public Health emergency department routine health care data cross-sectoral data analysis inadequate utilization ambulatory care sensitive conditions |
author_facet |
Antje Fischer-Rosinský Anna Slagman Ryan King Thomas Reinhold Liane Schenk Felix Greiner Dominik von Stillfried Grit Zimmermann Christian Lüpkes Christian Günster Natalie Baier Natalie Baier Cornelia Henschke Cornelia Henschke Stephanie Roll Thomas Keil Thomas Keil Thomas Keil Martin Möckel |
author_sort |
Antje Fischer-Rosinský |
title |
INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design |
title_short |
INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design |
title_full |
INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design |
title_fullStr |
INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design |
title_full_unstemmed |
INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design |
title_sort |
indeed–utilization and cross-sectoral patterns of care for patients admitted to emergency departments in germany: rationale and study design |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2021-04-01 |
description |
Introduction: The crowding of emergency departments (ED) has been a growing problem for years, putting the care of critically ill patients increasingly at risk. The INDEED project's overall aim is to get a better understanding of ED utilization and to evaluate corresponding primary health care use patterns before and after an ED visit while driving forward processes and methods of cross-sectoral data merging. We aim to identify adequate utilization of EDs and potentially avoidable patient contacts as well as subgroups and clusters of patients with similar care profiles.Methods: INDEED is a joint endeavor bringing together research institutions and hospitals with EDs in Germany. It is headed by the Charité–Universitätsmedizin Berlin, collaborating with Otto von Guericke University Magdeburg, Technische Universität Berlin, the Central Research Institute of Ambulatory/Outpatient Health Care in Germany (Zi), and the AOK Research Institute as part of the Federal Association of AOK, as well as experts in the technological, legal, and regulatory aspects of medical research (TMF). The Institute for Information Technology (OFFIS) was involved as the trusted third party of the project. INDEED is a retrospective study of approximately 400,000 adult patients with statutory health insurance who visited the ED of one of 16 participating hospitals in 2016. The routine hospital data contain information about treatment in the ED and, if applicable, about the subsequent hospital stay. After merging the patients' hospital data from 2016 with their outpatient billing data from 2 years before to 1 year after the ED visit (years 2014–2017), a harmonized dataset will be generated for data analyses. Due to the complex data protection challenges involved, first results will be available in 2021.Discussion: INDEED will provide knowledge on extracting and harmonizing large scale data from varying routine ED and hospital information systems in Germany. Merging these data with the corresponding outpatient care data of patients offers the opportunity to characterize the patient's treatment in outpatient care before and after ED use. With this knowledge, appropriate interventions may be developed to ensure adequate patient care and to avoid adverse events such as ED crowding. |
topic |
emergency department routine health care data cross-sectoral data analysis inadequate utilization ambulatory care sensitive conditions |
url |
https://www.frontiersin.org/articles/10.3389/fpubh.2021.616857/full |
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doaj-047ce87b8a5d4109869c04939cfc5b6c2021-04-16T04:56:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-04-01910.3389/fpubh.2021.616857616857INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study DesignAntje Fischer-Rosinský0Anna Slagman1Ryan King2Thomas Reinhold3Liane Schenk4Felix Greiner5Dominik von Stillfried6Grit Zimmermann7Christian Lüpkes8Christian Günster9Natalie Baier10Natalie Baier11Cornelia Henschke12Cornelia Henschke13Stephanie Roll14Thomas Keil15Thomas Keil16Thomas Keil17Martin Möckel18Emergency and Acute Medicine (Charité Virchow Klinikum-CVK, Charite Campus Mitte-CCM), Charité–Universitätsmedizin Berlin, Berlin, GermanyEmergency and Acute Medicine (Charité Virchow Klinikum-CVK, Charite Campus Mitte-CCM), Charité–Universitätsmedizin Berlin, Berlin, GermanyInstitute of Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Berlin, GermanyInstitute of Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Berlin, GermanyInstitute of Medical Sociology and Rehabilitation Science, Charité–Universitätsmedizin Berlin, Berlin, GermanyDepartment of Trauma Surgery, Otto von Guericke University Magdeburg, Magdeburg, GermanyCentral Research Institute for Ambulatory Health Care in Germany (Zi), Berlin, GermanyTMF–Technology, Methods, and Infrastructure for Networked Medical Research, Berlin, GermanyOFFIS–Institute for Information Technology, Oldenburg, GermanyAllgemeine Ortskrankenkasse (AOK) Research Institute–Wissenschaftliches Institut der AOK (WIdO), Berlin, GermanyKiel Institute for World Economy, Kiel, Germany0Department of Health Care Management, Berlin University of Technology, Berlin, Germany0Department of Health Care Management, Berlin University of Technology, Berlin, Germany1Faculty of Health Sciences Brandenburg, Brandenburg University of Technology Cottbus-Senftenberg, Cottbus, GermanyInstitute of Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Berlin, GermanyInstitute of Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Berlin, Germany2Institute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany3State Institute of Health, Bavarian Health and Food Safety Authority, Bad Kissingen, GermanyEmergency and Acute Medicine (Charité Virchow Klinikum-CVK, Charite Campus Mitte-CCM), Charité–Universitätsmedizin Berlin, Berlin, GermanyIntroduction: The crowding of emergency departments (ED) has been a growing problem for years, putting the care of critically ill patients increasingly at risk. The INDEED project's overall aim is to get a better understanding of ED utilization and to evaluate corresponding primary health care use patterns before and after an ED visit while driving forward processes and methods of cross-sectoral data merging. We aim to identify adequate utilization of EDs and potentially avoidable patient contacts as well as subgroups and clusters of patients with similar care profiles.Methods: INDEED is a joint endeavor bringing together research institutions and hospitals with EDs in Germany. It is headed by the Charité–Universitätsmedizin Berlin, collaborating with Otto von Guericke University Magdeburg, Technische Universität Berlin, the Central Research Institute of Ambulatory/Outpatient Health Care in Germany (Zi), and the AOK Research Institute as part of the Federal Association of AOK, as well as experts in the technological, legal, and regulatory aspects of medical research (TMF). The Institute for Information Technology (OFFIS) was involved as the trusted third party of the project. INDEED is a retrospective study of approximately 400,000 adult patients with statutory health insurance who visited the ED of one of 16 participating hospitals in 2016. The routine hospital data contain information about treatment in the ED and, if applicable, about the subsequent hospital stay. After merging the patients' hospital data from 2016 with their outpatient billing data from 2 years before to 1 year after the ED visit (years 2014–2017), a harmonized dataset will be generated for data analyses. Due to the complex data protection challenges involved, first results will be available in 2021.Discussion: INDEED will provide knowledge on extracting and harmonizing large scale data from varying routine ED and hospital information systems in Germany. Merging these data with the corresponding outpatient care data of patients offers the opportunity to characterize the patient's treatment in outpatient care before and after ED use. With this knowledge, appropriate interventions may be developed to ensure adequate patient care and to avoid adverse events such as ED crowding.https://www.frontiersin.org/articles/10.3389/fpubh.2021.616857/fullemergency departmentroutine health care datacross-sectoral data analysisinadequate utilizationambulatory care sensitive conditions |