title: [A pilot study to evaluate the DMP for coronary heart disease - Development of a methodology and first results].
abstract: Regarding the effectiveness of disease management programs (DMPs) in Germany, several studies have been published on the DMP for type 2 diabetes. This pilot study provides methodological insights into evaluating the DMP for coronary heart disease (CHD), which currently includes 1.7 million participants, and reveals trends in healthcare outcomes for mortality, guideline adherent prescribing and costs. Major methodological challenges that need to be considered for the development of an appropriate matching method for this indication have been identified. The results show positive trends in favor of the DMP regarding mortality, costs and medication according to guidelines. A matching design is applicable to the CHD indication; the knowledge gained regarding the quality of care can be used for a targeted development of the program.
authors.affiliation: OptiMedis AG, Hamburg.
authors.forename: Timo
authors.initials: T
authors.lastname: Schulte
authors.affiliation: Kassenärztliche Bundesvereinigung, Berlin. Electronic address: mmund@kbv.de.
authors.forename: Monika
authors.initials: M
authors.lastname: Mund
authors.affiliation: Kassenärztliche Bundesvereinigung, Berlin.
authors.forename: Ludwig
authors.initials: L
authors.lastname: Hofmann
authors.affiliation: OptiMedis AG, Hamburg.
authors.forename: Alexander
authors.initials: A
authors.lastname: Pimperl
authors.affiliation: OptiMedis AG, Hamburg.
authors.forename: Birger
authors.initials: B
authors.lastname: Dittmann
authors.affiliation: OptiMedis AG, Hamburg.
authors.forename: Helmut
authors.initials: H
authors.lastname: Hildebrandt
mesh_terms: D000328:Adult; D000368:Aged; D002317:Cardiovascular Agents / Q000191:economics / Q000627:therapeutic use; D003327:Coronary Disease / Q000191:economics / Q000401:mortality / Q000628:therapy*; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D019033:Delivery of Health Care, Integrated / Q000191:economics; D004185:Disability Evaluation; D019468:Disease Management; D005260:Female; D005858:Germany; D019983:Guideline Adherence / Q000191:economics; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics; D010865:Pilot Projects; D057216:Propensity Score; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents
keywords: Disease Management Programme; Disease management programs; GKV-Abrechnungsdaten; Propensity Score Matching; coronary heart disease; health insurance data; koronare Herzkrankheit; propensity score matching