[The German program for disease management guidelines: evaluation by use of quality indicators].
The Program for National Disease Management Guidelines (German DM-CPG Program) in Germany aims at the implementation of best-practice recommendations for prevention, acute care, rehabilitation and chronic care in the setting of disease management programs and integrated health-care systems. Like other guidelines, DM-CPG need to be assessed regarding their influence on structures, processes and outcomes of care. However, quality assessment in integrated health-care systems is challenging. On the one hand, a multitude of potential domains for measurement, actors and perspectives need to be considered. On the other hand, measures need to be identified that assess the function of the diagnostic and therapeutic chain in terms of cooperation and coordination of care. The article reviews methods and use of quality indicators in the context of the German DM-CPG Program.
Kopp
Ina B
IB
Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF), Düsseldorf.
Geraedts
Max
M
Jäckel
Wilfried H
WH
Altenhofen
Lutz
L
Thomeczek
Christian
C
Ollenschläger
Günter
G
D019033:Delivery of Health Care, Integrated; D019468:Disease Management; D005858:Germany; D019983:Guideline Adherence; D006284:Health Plan Implementation; D006801:Humans; D009313:National Health Programs; D017410:Practice Guidelines as Topic; D019984:Quality Indicators, Health Care