Emergency Department Utilization in Germany

NCT03224078 | Unknown

• 1 other identifier: EA4/086/17
• Study Type: observational
• Target: 680,000
• Locations: 1 country
• Sites: 1

Brief Summary

The overall aim of INDEED is to facilitate trans-sectoral and interdisciplinary health services research of emergency care in Germany. Clinical hospital data from 15 to 20 emergency departments in Germany will be linked to routine ambulatory health care data provided by the Association of Statutory Health Insurance Physicians (Kassenärztliche Vereinigung, KV). INDEED will identify health care gaps and inadequate resource allocation as well as develop strategies for adaptations of the health care system to existing demands.

Conditions

Emergencies

Outcome Measures

Primary Outcomes (1)

• Prevalence of adequate, inadequate and avoidable ED-visits

  Prevalence of adequate, inadequate and avoidable ED-visits will be operationalized by a) patients with low utilization of primary health care, b) low urgency, c) preventable conditions, d) chronic diseases that could have been adequately controlled, e) frequent-users, f) patients without contact to a physician in the ED ("left without being seen").

  Baseline

Secondary Outcomes (7)

• Characterization of health care resource utilization before and after an ED-visit

  from 2 years before until 1 year after ED-visit (2014-2017)

• influencing factors on avoidable ED-visits

  from 2 years before until 1 year after ED-visit (2014-2017)

• influencing factors on adequate ED-visits

  from 2 years before until 1 year after ED-visit (2014-2017)

• influencing factors on inadequate ED-visits

  from 2 years before until 1 year after ED-visit (2014-2017)

• Exploratory analysis of influencing factors on increased health care costs.

  from 2 years before until 1 year after ED-visit (2014-2017)

Study Arms (1)

adult Emergency Department Patients

adult patients that were treated with any condition in one of the participating emergency departments in 2016 (n≈680.000 cases)

Other: data extraction

Interventions

data extraction OTHER

No Special interventions except from data extraction form the respective routine data sources are planned .

adult Emergency Department Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients with public health insurance who attended one of the participating EDs in 2016 will be included in this research Project.

You may qualify if:

• adult ED patients who attended one of the participating EDs in 2016
• patients with public health insurance

Sponsors & Collaborators

• Charite University, Berlin, Germany: lead
• Zentralinstitut für die Kassenärztliche Versorgung in Deutschland: collaborator
• University of Magdeburg: collaborator
• Wissenschaftliches Institut der AOK (WIdO): collaborator
• Technische Universität Berlin: collaborator
• Technologie- und Methodenplattform für die vernetzte medizinische Forschung (TMF): collaborator
• OFFIS - Institut für Informatik: collaborator

Study Sites (1)

Charité Universitätsmedizin - Berlin

Berlin, 13353, Germany

RECRUITING

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Martin Möckel, Prof. Dr.

  Charite University, Berlin, Germany

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Martin Möckel, Prof. Dr.

CONTACT

0049 30 450 550472; martin.moeckel@charite.de

Anna Slagman, Dr., MSc

CONTACT

004930450553037; anna.slagman@charite.de

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof. Dr.

Study Record Dates

• First Submitted: June 23, 2017
• First Posted: July 21, 2017
• Study Start: May 1, 2017
• Primary Completion: April 30, 2020
• Study Completion: April 30, 2020
• Last Updated: July 21, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)