Analysis of the suitable guideline care of patients with dementia through the means of routine data from the statutory health insurance
Since March 2017, Mr. Heßmann has been a scholarship holder at the college of Transitional Medicine in the University of Göttingen for a one-year research rotation at the Center for Health Economics Research Hannover. Within the scope of a coop-project with the Department of psychiatry and psychotherapy of the University Medical center of Göttingen, the guidelines for the extent to which guidelines are applied to the care of incidental dementia patients in routine care are examined using routine date from the AOK Lower Saxony. The aim of this project is to identify predictors of a proper care for the caregiver and to make sure of GKV routines in the long term to evaluate compliance with guidelines.
Patients with a dementia also frequently have psychiatric disorders (e.g. affective disorders such as depression). These could be reasons for an increased outpatient medical contacts, inpatient recordings (for example in psychiatry) and entry into a nursing home. Therefore it should be examined whether incidence of dementia patients with psychiatric attendant diseases differ from those patients with dementia without (coded) psychiatric comorbidities. The increased use of medical and nursing care would probably also entail higher costs for the social security system, which could be reduced by adequate treatment of appropriate complaints and could contribute to an improvement in patient care.
Medical guidelines should support evidence-based patient care and appropriate allocation of scarce resources. In doing so, the effect of a guideline must be measured by whether the recommendations are implemented in everyday patient care. Evidence should be able to be derived from the routinely generated data in the course of care in order to be able to be identified and rectify any indications for a sub-, over-, or incorrect supply. The implementation and the changes in the guidelines in everyday care is, however, considered as an improvement for various pathologies. In addition, the guideline conformity also becomes increasingly important for the question of care quality, e.g. on the basis of quality indicators.