gms | German Medical Science

19. Deutscher Kongress für Versorgungsforschung

Deutsches Netzwerk Versorgungsforschung e. V.

30.09. - 01.10.2020, digital

Cost-effectiveness of case management in primary health care: a systematic review

Meeting Abstract

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  • Ann-Kathrin Klähn - inav – privates Institut für angewandte Versorgungsforschung GmbH, Berlin, Deutschland
  • Julia Jaschke - inav – privates Institut für angewandte Versorgungsforschung GmbH, Berlin, Deutschland
  • Felix Freigang - inav – privates Institut für angewandte Versorgungsforschung GmbH, Berlin, Deutschland
  • Matthias Arnold - inav – privates Institut für angewandte Versorgungsforschung GmbH, Berlin, Deutschland

19. Deutscher Kongress für Versorgungsforschung (DKVF). sine loco [digital], 30.09.-01.10.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. Doc20dkvf462

doi: 10.3205/20dkvf462, urn:nbn:de:0183-20dkvf4620

Veröffentlicht: 25. September 2020

© 2020 Klähn 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

Background and current state of (inter)national research: An ageing multimorbid population is putting immense pressure on health care systems. Case management is a popular approach to meet these challenges. It intends to guide individuals with complex medical needs in order to improve health service effectiveness and reduce cost. Evaluations on the effectiveness of different case management models exist. One recent example is the research project “RubiN”, funded by G-BA’s German Innovations Fund, which evaluates the implementation of case management for geriatric patients. However, no rigorous systematic review has yet synthesized recent studies on cost-effectiveness of case management.

Questions and objectives: The aim of this systematic review is to investigate the cost-effectiveness of case management and to assess if particular models of case management are cost effective.

Methods or hypothesis: A systematic review will be performed in order to synthesize evidence concerning specific models of case management and the cost-effectiveness of such interventions in primary care. Different bibliographic databases will be searched using key blocks of terms “case management”, “effectiveness”, and “costs”. Two authors will independently review, assess and select identified articles according to the „Consensus on Health Economic Criteria checklist (CHEC‐list)”. Any discrepancies will be resolved by discussion. Hand searches of the reference lists of included papers will complete the database searches.

Results: After evaluating study quality, case management models will be categorized into distinct typology of service delivery with distinct organizational and technological features. Cost-effectiveness estimates will be compared within and between distinct categories of case management.

Discussion: We aim to reflect on study quality and evidence on cost effectiveness of case management modalities.

Practical implications: This paper will offer an overview of evidence related to cost-effectiveness of case management and can therefore broaden understanding of relevant components that improve cost-effectiveness of such programs. Health care providers and payers can use this information to assess and improve their case management programs.