Publikationen
Wissen teilen, Innovationen fördern: Wir veröffentlichen – in internationaler Kooperation mit Universitäten und Forschungsinstituten – wissenschaftliche Studien und Fachartikel rund um unsere Arbeit.
“It depends on the people!” – A qualitative analysis of contextual factors, prior to the implementation of digital health innovations for chronic condition management, in a German integrated care network
Integrated care and digital health technology interventions are promising approaches to coordinate services for people living with chronic conditions, across different care settings and providers. The EU-funded ADLIFE project intends to provide digitally integrated personalized care to improve and maintain patients’ health with advanced chronic conditions. This study conducted a qualitative assessment of contextual factors prior to the implementation of the ADLIFE digital health platforms at the German pilot site. The results of the assessment are then used to derive recommendations for action for the subsequent implementation, and for evaluation of the other pilot sites.
In: Digital Health
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Interdisciplinary network care collaboration in Parkinsons’s disease: a baseline evaluation in Germany
The strengthening of interdisciplinary care collaboration in Parkinson’s disease is taking on increasing importance in daily medical routine. Therefore, care providers worldwide are organizing themselves in disease-specific regional network structures. However, the existing networks are heterogeneous, and the driving key players are yet unidentified. To systematically identify key factors of the composition of health care professionals, who are initially interested in the development of a Parkinson network for interdisciplinary care collaboration, their motivation, and expectations, a basic evaluation was conducted in three different German regions.
In: Neurological Research and Practice
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Community Health und Patientenlots:innen. Ein Werkstattbericht zum Case Management in ländlichen Räumen von der 18. Jahrestagung der DGCC
Das Prinzip des Case Managements steht im ländlichen Raum vor besonderen Anforderungen, bietet aber Potentiale sowohl für individuelle als auch systematische Bewältigungsstrategien. Insbesondere Community Health und Patientenlots:innen werden als "neue" Lösungsansätze breit diskutiert.
In: Case Management
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Gesundheitssysteme für planetare Gesundheit
Wenn unsere Gesundheitssysteme sowohl zur menschlichen als auch zur planetaren Gesundheit beitragen sollen, stehen wir vor enormen Herausforderungen. Die Komplexität und das Ausmaß der notwendigen Veränderungen werden deutlich, wenn wir uns allein die Dimension der Reduktion von klima- schädlichen Emissionen im Gesundheitswesen anschauen.
In: Witten Lab Magazin
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Künstliche Intelligenz in Versorgungsprozessen: Potenziale und Herausforderungen
Verfahren der künstlichen Intelligenz (KI) haben in den letzten Jahren stark an Bedeutung gewonnen. Die Umsetzung der KI in die Versorgungspraxis birgt viele Herausforderungen: Wie kann Vertrauen in die KI aufgebaut und so die Anwendung beschleunigt werden?
In: Handbuch Digitale Gesundheitswirtschaft
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The application of machine learning to predict high-cost patients: A performance-comparison of different models using healthcare claims data
The aim of this study was to predict future high-cost patients with machine learning using healthcare claims data. The authors applied a random forest (RF), a gradient boosting machine (GBM), an artificial neural network (ANN) and a logistic regression (LR) to predict high-cost patients in the following year. They were able to develop machine learning models that predict high-cost patients with ‘good’ performance facilitating routinely collected sickness fund claims and cost data. Tree-based models performed best and outperformed the ANN and LR.
In: Plos One
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Self-management interventions for adults living with obesity to improve patient-relevant outcomes: An evidence map
The authors conducted an evidence map on self-management interventions and patient-relevant outcomes for adults living with overweight/obesity. They conclude that there is a need of widening the scope of research by focusing on outcomes important to patients, assessing emotional/social/share-decision support, exploring remote techniques and including vulnerable populations.
In: Patient education and counseling
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Contextual factors for the successful implementation of self-management interventions for chronic diseases: A qualitative review of reviews
To identify and describe the most relevant contextual factors (CFs) from the literature that influence the successful implementation of self-management interventions (SMIs) for patients living with type 2 diabetes mellitus, obesity, COPD and/or heart failure, the authors conducted a qualitative review of reviews. Four databases were searched, 929 reviews were identified, 460 screened and 61 reviews met the inclusion criteria. A great variety of CFs was identified on several levels, across all four chronic diseases. Most CFs were on the level of the patient, the professional and the interaction level, while less CFs were obtained on the level of the intervention, organization, setting and national level. No differences in main themes of CFs across all four diseases were found.
In: Chronic Illness
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Assessment of the effectiveness, socio-economic impact and implementation of a digital solution for patients with advanced chronic diseases: The ADLIFE Study Protocol
Due to population ageing and medical advances, people with advanced chronic diseases (ACD) live longer. Such patients are even more likely to face either temporary or permanent reduced functional reserve, which typically further increases their healthcare resource use and the burden of care on their caregiver(s). ADLIFE is an EU-funded project, aiming to improve the quality of life of older people with ACD by providing integrated personalized care via a digitally enabled toolbox. The protocol of the ADLIFE study is designed to provide robust scientific evidence on the assessment of the effectiveness, socio-economic, implementation, and technology acceptance aspects of the ADLIFE intervention compared to the current standard of care (SoC) when applied in real-life settings of seven different pilot sites across six countries.
In: International Journal of Environmental Research and Public Health
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Cooperation improvement in an integrated healthcare network: A social network analysis
Cooperation is a core feature of integrated healthcare systems and an important link in their value-creating mechanism. The premise is that providers who cooperate can promote more efficient use of health services while improving health outcomes. The authors studied the performance of an integrated healthcare system in improving regional cooperation.
In: International Journal of Integrated Care
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Identifying most important contextual factors for the implementation of self-management interventions: A Delphi study
The objective of this study was to reach consensus amongst stakeholders about the most important contextual factors (CFs) that may influence the successful implementation of (components of) self-management interventions (SMIs) for type 2 diabetes, obesity, COPD and heart failure.
In: Patient education and counseling
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Patients‘ and informal caregivers‘ perspectives on self-management interventions for type 2 diabetes mellitus outcomes: A mixed-methods overview of 14 years of reviews
Self-management interventions (SMIs) are core components of high-quality care in type 2 diabetes mellitus (T2DM). The authors aimed to identify and summarise the scientific evidence exploring the perspectives of patients with T2DM and their informal caregivers on outcomes of SMIs, and the key themes to enhance T2DM patient-centred care.
In: Archives of Public Health
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