scholarly journals Pain And The Use Of Gabapentinoids In German Nursing Home Residents - Results From An Analysis Based On Statutory Health Insurance Data

2019 ◽  
Vol Volume 12 ◽  
pp. 3175-3184
Author(s):  
C. Bantel ◽  
F. Hoffmann ◽  
K. Jobski
Keyword(s):  
Nursing Home ◽  
Health Insurance ◽  
Statutory Health Insurance ◽  
Nursing Home Residents ◽  
Health Insurance Data ◽  
Insurance Data

Epidemiology of chronic wounds in Germany: Analysis of statutory health insurance data

2016 ◽  
Vol 24 (2) ◽  
pp. 434-442 ◽  
Author(s):  
Kristina Heyer ◽  
Katharina Herberger ◽  
Kerstin Protz ◽  
Gerd Glaeske ◽  
Matthias Augustin
Keyword(s):  
Health Insurance ◽  
Chronic Wounds ◽  
Statutory Health Insurance ◽  
Health Insurance Data ◽  
Insurance Data

scholarly journals Nursing home-sensitive conditions: analysis of routine health insurance data and modified Delphi analysis of potentially avoidable hospitalizations

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1223
Author(s):  
Sabine Bohnet-Joschko ◽  
Maria Paula Valk-Draad ◽  
Timo Schulte ◽  
Oliver Groene
Keyword(s):  
Nursing Home ◽  
Health Insurance ◽  
Hospital Admissions ◽  
Statutory Health Insurance ◽  
Nursing Home Residents ◽  
Insurance Companies ◽  
Avoidable Hospitalizations ◽  
Delphi Round ◽  
Health Insurance Companies ◽  
Expert Workshop

Background: Hospitalizations of nursing home residents are associated with various health risks. Previous research indicates that, to some extent, hospitalizations of this vulnerable population may be inappropriate and even avoidable. This study aimed to develop a consensus list of hospital discharge diagnoses considered to be nursing home-sensitive, i.e., avoidable. Methods: The study combined analyses of routine data from six statutory health insurance companies in Germany and a two-stage Delphi panel, enhanced by expert workshop discussions, to identify and corroborate relevant diagnoses. Experts from four different disciplines estimated the proportion of hospitalizations that could potentially have been prevented under optimal conditions.   Results: We analyzed frequencies and costs of data for hospital admissions from 242,236 nursing home residents provided by statutory health insurance companies. We identified 117 hospital discharge diagnoses, which had a frequency of at least 0.1%. We recruited experts (primary care physicians, hospital specialists, nursing home professionals and researchers) to estimate the proportion of potentially avoidable hospitalizations for the 117 diagnoses deemed avoidable in two Delphi rounds (n=107 in Delphi Round 1 and n=96 in Delphi Round 2, effective response rate=91%). A total of 35 diagnoses with high and consistent estimates of the proportion of potentially avoidable hospitalizations were identified as nursing home-sensitive. In an expert workshop (n=16), a further 25 diagnoses were discussed that had not reached the criteria, of which another 23 were consented to be nursing home-sensitive conditions. Extrapolating the frequency and mean costs of these 58 diagnoses to the national German context yielded total potentially avoidable care costs of €768,304,547, associated with 219,955 nursing home-sensitive hospital admissions. Conclusion: A total of 58 nursing home-relevant diagnoses (ICD-10-GM three-digit level) were classified as nursing home-sensitive using an adapted Delphi procedure. Interventions should be developed to avoid hospital admission from nursing homes for these diagnoses.

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