[Developmental process of DGPPN quality indicators].
I Großimlinghaus, P Falkai, W Gaebel...
https://pubmed.ncbi.nlm.nih.gov/23494246Actively Recruiting
All Genders
ID05181982
Evaluation of the Flexible and Integrative Psychiatric Care Model at the Pfalzklinikum (EVA_Pfalz)
Led by Technische Universität Dresden · Updated on 2025-08-24
10000
Participants Needed
1
Research Sites
43 weeks
Total Duration
On this page
Sponsors
T
Technische Universität Dresden
Lead Sponsor
I
ISMG, Medical Faculty, Otto-von-Guericke University Magdeburg
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a flexible and integrative psychiatric care model (FIT) at the Pfalzklinikum to see if it offers advantages over standard care. This model aims to improve cross-sectoral services and provide more flexible treatment intensities for mentally ill children, youth, and adults. The study uses anonymized claims data to compare outcomes such as inpatient stay duration, sick leave days, and treatment continuity between patients treated under the FIT model and standard care in similar hospitals. The FIT model involves a contract with several statutory health insurance funds that supports alternative financing based on a global treatment budget. This encourages the Pfalzklinikum to provide fewer inpatient treatments and more outpatient and day care treatments, including Assertive Community Treatment (ACT) delivered in patients' homes. The model focuses on continuous treatment, stabilization within patients' social and professional environments, and effective use of financial resources. The project started in January 2020 and is planned to run for at least eight years. Participants include patients treated at the Pfalzklinikum or comparable control hospitals from January 2020 to December 2023 with specific psychiatric diagnoses. The study examines primary outcomes like duration of inpatient treatment and sick leave days over up to four years after recruitment. Secondary outcomes cover outpatient care, readmissions, comorbidities, disease progression, costs, and treatment adherence. Data are collected from anonymized claims records, comparing FIT and standard care groups. The evaluation is conducted by an independent expert team to assess the model's effectiveness and cost-effectiveness over time.
CONDITIONS
Brief Title
Evaluation of a Flexible and Integrative Psychiatric Care Model at the Pfalzklinikum (EVA_Pfalz)
Who Can Participate
All Genders
Eligibility Criteria
You may qualify if you...
- Treated at the Pfalzklinikum or a control hospital between January 1, 2020, and December 31, 2023
- Main diagnosis includes one of the following ICD-10 codes: F00, F01, F02, F03, F07, F10, F20-29, F30-39, F43, F45, F40-48, F50, F60.31, F70-79, F84, F90-F98, B22 & F02.8, G20.0 & F02.3, G30.0 & F00.0, G30.1 & F00.1
- Insured with any of the participating statutory health insurance funds
You will not qualify if you...
- Less than one year of follow-up data available
- Non-permanent residence in Germany during the observation period
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Monitoring
Duration - Up to 4 years
Participants who receive routine psychiatric care at the Pfalzklinikum or control hospitals are observed through anonymized claims data to evaluate treatment duration, sick leave days, outpatient and day care treatment, readmission rates, and other care-related outcomes.
Data collected continuously through routine care records
Trial Site Locations
Total: 1 location
1
Center For Evidence-Based Healthcare, Technische Universität Dresden
Dresden, Germany
Actively Recruiting
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Research Team
A
Anne Neumann, Dr.
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Published Research Related To This Trial
Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data.
Hude Quan, Vijaya Sundararajan, Patricia Halfon...
https://pubmed.ncbi.nlm.nih.gov/16224307[Identification of Control Hospitals for the Implementation of the Nationwide and Standardized Evaluation of Model Projects According to § 64b SGB V: Analysis of Data from Structured Quality Reports].
T Petzold, A Neumann, M Seifert...
https://pubmed.ncbi.nlm.nih.gov/27846670[Methodological Challenges when Using Claims Data of more than 70 Statutory Health Insurances - A Progress Report from the EVA64 Study].
Stefanie March, Linda Zimmermann, Denise Kubat...
https://pubmed.ncbi.nlm.nih.gov/31962364The influence of cross-sectoral treatment models on patients with mental disorders in Germany: study protocol of a nationwide long-term evaluation study (EVA64).
Anne Neumann, Enno Swart, Dennis Häckl...
https://pubmed.ncbi.nlm.nih.gov/29776348Evaluation of a flexible and integrative psychiatric care model in a department of child and adolescent psychiatry in Tübingen, Germany: study protocol (EVA_TIBAS).
Anne Neumann, Helene Hense, Fabian Baum...
https://pubmed.ncbi.nlm.nih.gov/34802427