INDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Design

dc.contributor.authorFischer-Rosinský, Antje
dc.contributor.authorSlagman, Anna
dc.contributor.authorKing, Ryan
dc.contributor.authorReinhold, Thomas
dc.contributor.authorSchenk, Liane
dc.contributor.authorGreiner, Felix
dc.contributor.authorvon Stillfried, Dominik
dc.contributor.authorZimmermann, Grit
dc.contributor.authorLüpkes, Christian
dc.contributor.authorGünster, Christian
dc.contributor.authorBaier, Natalie
dc.contributor.authorHenschke, Cornelia
dc.contributor.authorRoll, Stephanie
dc.contributor.authorKeil, Thomas
dc.contributor.authorMöckel, Martin
dc.date.accessioned2021-05-18T06:32:24Z
dc.date.available2021-05-18T06:32:24Z
dc.date.issued2021-04-16
dc.date.updated2021-04-30T06:26:54Z
dc.description.abstractIntroduction: 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.en
dc.identifier.eissn2296-2565
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/13114
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-11907
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otheremergency departmenten
dc.subject.otherroutine health care dataen
dc.subject.othercross-sectoral data analysisen
dc.subject.otherinadequate utilizationen
dc.subject.otherambulatory care sensitive conditionsen
dc.titleINDEED–Utilization and Cross-Sectoral Patterns of Care for Patients Admitted to Emergency Departments in Germany: Rationale and Study Designen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumber616857en
dcterms.bibliographicCitation.doi10.3389/fpubh.2021.616857en
dcterms.bibliographicCitation.journaltitleFrontiers in Public Healthen
dcterms.bibliographicCitation.originalpublishernameFrontiersen
dcterms.bibliographicCitation.originalpublisherplaceLausanneen
dcterms.bibliographicCitation.volume9en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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