Evaluation of Ambulatory Geriatric Rehabilitation (EAGER): study protocol of a matched cohort study based on claims data

BMC Geriatrics

Study Protocol

Jean-François Chenot¹  Simone Kiel²  Carsten Oliver Schmidt³  Carolin Zimak³ 

[1] Department of General Practice, Institute of Community Medicine, University Medicine Greifswald, Greifswald, Germany;Department of General Practice, Institute of Community Medicine, University Medicine Greifswald, Greifswald, Germany;Institut für Community Medicine—Abteilung Allgemeinmedizin, Universitätsmedizin Greifswald, KdöR, Fleischmannstraße 42, 17475, Greifswald, Germany;Department of SHIP-KEF, Institute of Community Medicine, University Medicine Greifswald, Greifswald, Germany;

关键词: Ambulatory geriatric rehabilitation;    Geriatric multimorbidity;    Health claims data;    Matched cohort study;    Propensity score matching;   

DOI  :  10.1186/s12877-017-0452-1

 received in 2016-11-19, accepted in 2017-02-16,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAmbulatory geriatric rehabilitation (AGR) is a community based outpatient intervention which aims to improve physical function, maintain independent living of geriatric patients, avoiding hospitalisation and institutionalisation. It should therefore reduce health care costs. The objective of our study is to evaluate the effectiveness of AGR for frail elderly patients insured by the statutory health insurance AOK Nordost compared to care as usual. Outcome variables are progression to higher nursing care levels, admission to nursing home, incident fractures, hospital admission, ambulatory care sensitive hospital admissions, days spent in hospital, and health care costs.MethodsThis matched cohort study aims to estimate average treatment effects of AGR. For this purpose we will compare patients receiving AGR with matched patients receiving care as usual. Patients in the intervention group were treated between the years 2009 and 2013 from three centres in Mecklenburg-Vorpommern, Germany. Matching will be conducted using propensity score techniques. Claims data will be provided by the statutory health insurance AOK Nordost. The primary outcomes are the progression of nursing care levels, incident fractures, and admission to nursing home. Secondary outcomes are total and ambulatory care sensitive hospital admissions, and health care costs from the statutory health insurance perspective. Data will be analysed using appropriate regression models.DiscussionThis study aims to quantify the effectiveness of AGR. Results will be important for providers of AGR, policy makers and stakeholders to make informed decisions on whether to continue, modify or extend AGR.Trial registrationGerman Clinical Trials Register (DRKS) S00008926, registered 29.07.2015

【 授权许可】

CC BY   
© The Author(s). 2017