Strong primary care and patients’ survival
Primary healthcare is the cornerstone of any healthcare system. A major health system reform to strengthen primary care has been implemented in Germany since 2008. Key components include: voluntary participation, intensive management of patients with chronic diseases, coordination of access to medic...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
26 July 2019
|
| In: |
Scientific reports
Year: 2019, Volume: 9 |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-019-47344-9 |
| Online Access: | Verlag, Volltext: https://doi.org/10.1038/s41598-019-47344-9 Verlag: https://www.nature.com/articles/s41598-019-47344-9 
|
| Author Notes: | Michel Wensing, Joachim Szecsenyi, Petra Kaufmann-Kolle, Gunter Laux |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1680705369 | ||
| 003 | DE-627 | ||
| 005 | 20230427033304.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 191030s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1038/s41598-019-47344-9 |2 doi | |
| 035 | |a (DE-627)1680705369 | ||
| 035 | |a (DE-599)KXP1680705369 | ||
| 035 | |a (OCoLC)1341249607 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Wensing, Michel |d 1967- |e VerfasserIn |0 (DE-588)173088341 |0 (DE-627)698011937 |0 (DE-576)13394042X |4 aut | |
| 245 | 1 | 0 | |a Strong primary care and patients’ survival |c Michel Wensing, Joachim Szecsenyi, Petra Kaufmann-Kolle, Gunter Laux |
| 264 | 1 | |c 26 July 2019 | |
| 300 | |a 5 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 30.10.2019 | ||
| 520 | |a Primary healthcare is the cornerstone of any healthcare system. A major health system reform to strengthen primary care has been implemented in Germany since 2008. Key components include: voluntary participation, intensive management of patients with chronic diseases, coordination of access to medical specialists, continuous quality improvement, and capitation-based reimbursement. The objective of this study was to assess the effect of this reform on survival of enrolled patients. We conducted a comparative cohorts study with 5-year follow-up, starting in the year 2012 in Baden-Wuerttemberg, Germany. Participants were 1,003,336 enrolled patients and 725,310 control patients. A Cox proportional hazards regression model was applied to compare survival of enrolled patients with a composed control cohort of non-enrolled patients, adjusted for a range of patient and physician characteristics. Average age of enrolled patients was 57.3 years and 56.1% were women. Compared to control patients, they had lower mortality (Hazard Ratio: 0.978; 95% CI: 0.968; 0.989). Participation in chronic disease management programs had independent impact on survival rate (Hazard Ratio 0.744, 95% CI: 0.734; 0.753). We concluded that strong primary care is safe and potentially beneficial in terms of patients’ survival. | ||
| 700 | 1 | |a Szecsenyi, Joachim |d 1953- |e VerfasserIn |0 (DE-588)172913756 |0 (DE-627)697841537 |0 (DE-576)133768430 |4 aut | |
| 700 | 1 | |a Kaufmann-Kolle, Petra |e VerfasserIn |0 (DE-588)172181283 |0 (DE-627)697095932 |0 (DE-576)133052109 |4 aut | |
| 700 | 1 | |a Laux, Gunter |d 1968- |e VerfasserIn |0 (DE-588)128891203 |0 (DE-627)384629288 |0 (DE-576)297385798 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Scientific reports |d [London] : Springer Nature, 2011 |g 9(2019) Artikel-Nummer 10859, 5 Seiten |h Online-Ressource |w (DE-627)663366712 |w (DE-600)2615211-3 |w (DE-576)346641179 |x 2045-2322 |7 nnas |a Strong primary care and patients’ survival |
| 773 | 1 | 8 | |g volume:9 |g year:2019 |g extent:5 |a Strong primary care and patients’ survival |
| 856 | 4 | 0 | |u https://doi.org/10.1038/s41598-019-47344-9 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u https://www.nature.com/articles/s41598-019-47344-9 |x Verlag |
| 951 | |a AR | ||
| 992 | |a 20191030 | ||
| 993 | |a Article | ||
| 994 | |a 2019 | ||
| 998 | |g 128891203 |a Laux, Gunter |m 128891203:Laux, Gunter |d 910000 |d 910100 |e 910000PL128891203 |e 910100PL128891203 |k 0/910000/ |k 1/910000/910100/ |p 4 |y j | ||
| 998 | |g 172913756 |a Szecsenyi, Joachim |m 172913756:Szecsenyi, Joachim |d 910000 |d 910100 |e 910000PS172913756 |e 910100PS172913756 |k 0/910000/ |k 1/910000/910100/ |p 2 | ||
| 998 | |g 173088341 |a Wensing, Michel |m 173088341:Wensing, Michel |d 910000 |d 910100 |e 910000PW173088341 |e 910100PW173088341 |k 0/910000/ |k 1/910000/910100/ |p 1 |x j | ||
| 999 | |a KXP-PPN1680705369 |e 3531170775 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"physDesc":[{"extent":"5 S."}],"language":["eng"],"recId":"1680705369","id":{"doi":["10.1038/s41598-019-47344-9"],"eki":["1680705369"]},"relHost":[{"language":["eng"],"part":{"text":"9(2019) Artikel-Nummer 10859, 5 Seiten","year":"2019","extent":"5","volume":"9"},"disp":"Strong primary care and patients’ survivalScientific reports","physDesc":[{"extent":"Online-Ressource"}],"id":{"eki":["663366712"],"zdb":["2615211-3"],"issn":["2045-2322"]},"recId":"663366712","note":["Gesehen am 12.07.24"],"origin":[{"dateIssuedDisp":"2011-","publisherPlace":"[London] ; London","publisher":"Springer Nature ; Nature Publishing Group","dateIssuedKey":"2011"}],"type":{"bibl":"periodical","media":"Online-Ressource"},"pubHistory":["1, article number 1 (2011)-"],"title":[{"title":"Scientific reports","title_sort":"Scientific reports"}]}],"name":{"displayForm":["Michel Wensing, Joachim Szecsenyi, Petra Kaufmann-Kolle, Gunter Laux"]},"note":["Gesehen am 30.10.2019"],"person":[{"role":"aut","display":"Wensing, Michel","given":"Michel","family":"Wensing"},{"display":"Szecsenyi, Joachim","given":"Joachim","family":"Szecsenyi","role":"aut"},{"family":"Kaufmann-Kolle","given":"Petra","display":"Kaufmann-Kolle, Petra","role":"aut"},{"family":"Laux","given":"Gunter","display":"Laux, Gunter","role":"aut"}],"title":[{"title_sort":"Strong primary care and patients’ survival","title":"Strong primary care and patients’ survival"}],"origin":[{"dateIssuedDisp":"26 July 2019","dateIssuedKey":"2019"}],"type":{"media":"Online-Ressource","bibl":"article-journal"}} | ||
| SRT | |a WENSINGMICSTRONGPRIM2620 | ||