gms | German Medical Science

67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12. - 15. Juni 2016, Frankfurt am Main

Better outcome for neurosurgical spine patients by the use of a transsectoral treatment path

Meeting Abstract

Suche in Medline nach

  • Horst Poimann - MVZ für Neurochirurgie und Rehabilitationsmedizin Würzburg, Germany
  • Gabriele Schuster - Athene Akademie GmbH, Würzburg, Germany
  • Martine Urner - Praxis-Projekt KG, Würzburg, Germany
  • Mart Kivikas - Wissenskapital, Oberreichenbach, Germany

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocP 055

doi: 10.3205/16dgnc430, urn:nbn:de:0183-16dgnc4305

Veröffentlicht: 8. Juni 2016

© 2016 Poimann et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objective: Sectoral partition is a problem in spine surgery combining out-patient, in-patient and rehabilitation treatment. Waiting lists between sectors, delayed treatment and loss of information lead to longer treatment and quality gaps along the line of care. Porter/Teisberg (2006) found an effective and valuable treatment for patients only in transsectoral care at a certain medical condition level from the beginning of one defined disease till reintegration into daily life, if the responsibility lies in the hands of one team.

Method: The pilot supported by the bavarian state department of healthcare developed an IT-tool for a transsectoral treatment path in order to allow every caregiver starting from the orthopaedic doctor to the surgical hospital and rehabilitation center and back to the orthopaedic doctor having permanent access to necessary data of the patient during the complete circle of care. At the beginning of the pilot study in 2014 base line data concerning randomly 30 selected patients undergoing spine surgery were gathered. By December 2015 results as shorter treatment circles, higher satisfaction of the patients, improved clinical outcome, higher satisfaction of co-workers in the different organisations, and evaluation of the organization performance will be evaluated.

Results: The development and the roll out of the IT-tool was completed in November 2014. 15 organisations took part and 428 patients have been treated using the trans sectoral path. First results proof the good usability of the path attested by the care givers. Some improvement projects are already started. Patients satisfaction rose as well as that of caregiver`s (p<.001) treatment time as shortened between 5-20 days (p<.001) outcome was improved (p<.10). Oeconomics data show that organisations with the highest numbers of patients get more profit.

Conclusions: An IT-tool allowing all participants in the care of spine surgery patients to have an 24/7 data access is a real progress concerning the transsectoral treatment of degenerative spine disease: better clinical outcome, shorter treatment time, higher satisfaction of either patients or clinical staff, and smoother hospital processes will supply an improved resource utilisation.