Models of Care in the Healthcare System

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Decision-Making Project 1

Contact: Christine Holmberg
Funding: National Cancer Institut
The project examines decision-making processes in so-called "risk diagnoses", ie when an increased disposition for a disease is identified. The example of breast cancer risk is used to investigate the influence of the treatment situation as well as social, psychological, and cultural factors on treatment decisions. Surveys, video recordings of treatment and counseling interviews, as well as open interviews are used.

Long-term care of patients who survived a heart attack - a mixed-methods study

Contact and project management: Wolfram Herrmann
Funding: own funds
In this study, we examine the long-term care of patients who have survived a heart attack using survey data, routine data analysis, and qualitative interviews with patients.

Subjective patient concepts for the use of primary care - a qualitative comparative study between Germany and Norway

Contact and project management: Wolfram Herrmann
Sponsor: DFG (HE6399 / 1-1, HE6399 / 1-2)
In this study, we used qualitative interviews with patients, participating observations of general practitioners and a contextual analysis to investigate why patients in Germany are significantly more likely to go to the doctor than in Norway. The results show among other things the importance of contextual factors such as work incapacity rules as well as the need for more complex models to describe occupancy.

Database with experience reports on illness and health

Contact: Christine Holmberg
Sponsors and others: Federal Ministry of Health (National Cancer Plan) and Krebsallianz
DIPEx is part of an international research network (dipexinternational.org) with the goal to systematically collect and scientifically evaluate a patient's experience of the disease. The reviews are available for secondary analysis. For example, disease histories of the 143 cancer patients were evaluated in order to gain a better understanding of different roles that play information about the disease in the experience. Methods: Narrative interviews, thematic analyzes and analyzes based on Grounded Theory. www.krankheitserfahrungen.de

Accompanying research and evaluation of the project "INDIKA"

Contact: Liane Schenk
Funding: GKV-Spitzenverband
Duration 2013-2016
INDIKA (indication-specific regionally coordinated post-hospital long-term care of people with stroke and people with dementia after stroke in Berlin Pankow) is a model project with the aim to networkand improve the regional and quality assured care and counseling of persons with stroke and their relatives. On the one hand, scientific monitoring should examine the structure and development of the network of service providers in order to identify beneficial and hindering factors in network work. For this purpose, the network stakeholders are interviewed in qualitative expert interviews. On the other hand, the efficiency of the project with regard to central outcomes is examined by means of routine health insurance data.

Evaluation of model projects according to § 64b SGB-V (EVAMode64)

Contact: Sebastian von Peter
Duration: 2015-2017
Third party funding: Consortium of participating clinics
The possibilities of integrative, flexible and continuous care have been increased since 2013 pursuant to Section 64b of the German Social Code. Nine Germany-wide model hospitals were examined using a mixed method approach. The experience and the evaluation of the model care by patients, relatives and employees were examined with the help of methods of qualitative health research and a standardized survey.

NaviCARE

Contact: Christine Holmberg
Funding: BMBF
The goal of NaviCARE is to develop a patient-oriented navigator model. A variety of methods are used. In a qualitative interview project, the view of patients on optimal care is captured and the barriers they encounter to get in the way of creating the navigator model. Methods used: topic-centered, narrative interviews, thematic analyzes.

Accompanying research and evaluation of the project "School health care in general education schools"

Contact: Yvonne Adam
Funding: Hessian Association for Health Promotion e.V. (HAGE)
Funding period: 2016-2018
Project leader: Prof. Michael Ewers, PD Dr. med. Antje Tannen - Institute for Health and Nursing Science
School nursing is internationally an established profession in the health care system. School-based nurses help maintain students' health, identify health risks, and manage health issues. In a transnational model project, the implementation of school health professionals in 30 schools is monitored and evaluated. To evaluate the work of the school's own nurses, qualitative interviews are conducted with students and focus groups with parents and teaching staff. A standardized survey of these groups of actors also provides information about the health situation at the schools. In addition, participatory workshops with school health professionals and various expert interviews will be evaluated.