With cardiology less frequently in the clinic

    

    

Doctors newspaper online, 25.07.2019

    

        
        
        

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Baden-Württemberg

In Baden-Wuerttemberg indications of advantages for cardiac patients receiving the AOK selective contract are confirmed.

STUTTGART. Patients in the specialist cardiology contract of the AOK Baden-Württemberg are less frequently hospitalized than those with heart disease in the standard care setting. This is clear from the first evaluation results communicated by the contract partners AOK, Medi-Verbund and the family doctor association Baden-Württemberg.

Scientists led by Professor Ferdinand Gerlach from the Institute of General Medicine at the University of Frankfurt have analyzed the data from 13,400 registered insured persons from the years 2015 and 2016, and about 8,700 insured persons also suffering from heart failure belonged to the control group.

The relative risk reduction of hospitalization for acute decompensated heart failure is approximately 24 percent. In CHD patients, the risk reduction of hospitalization is 13 percent. Gerlach describes these effect sizes as "impressive" compared to the standard supply. This shows that fragmented health care "can make substantial progress in terms of integrated care delivery, quality and efficiency". The evaluation also shows that the interplay between home and specialist doctors work, according to the contract partners: the referral rate in the selective contract is almost 100 percent, in the standard care it is only 66 percent.

At the end of September, the evaluation of the Universities of Frankfurt, Jena and Heidelberg as well as of the Aqua-Institut will be submitted to the Joint Federal Committee. The expertise has been funded by the Innovation Fund.

In order to be able to successfully continue the specialist medical contracts, the draft of the so-called "Fair Electoral Code" (FKG) must be changed. Werner Baumgärtner, CEO of Medi Baden-Württemberg. The draft bill of the Federal Ministry of Health provides for a ban on treatment diagnoses as a prerequisite for defined benefit payments. This requirement would make care services tailored to specific patient groups impossible, says Baumgärtner. (FST)

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